Which of the following situations would be a priority for the nurse to intervene?

1. A client's spouse asks the nurse for the results of an HIV test.
2. Copies of the patient's diagnostic test results are found in the regular trash behind the nurse's station.
3. The charge nurse overhears a physician asking another physician not involved in the client's care to look at a test result.
4. A client's medical record is left unattended on a stretcher outside the radiology department while the client receives an x-ray.


1. A client's spouse asks the nurse for the results of an HIV test.

Explanation: 1. A breach in patient privacy is the nurse discussing the client's condition with a relative without the client's permission, and if the nurse gives the results, there is no way to undo that information and to protect the client's privacy. This should be the charge nurse's priority.
2. Copies of patient records must be rendered unreadable before being discarded. This would be a violation of HIPAA but not an immediate threat to the client's privacy, so it would not be the priority.
3. The physician should not be asking another physician to look at records unless a formal consult has been ordered; however, this would not be a priority since all doctors should protect client information, so there is no immediate threat of client information being unprotected.
4. Patient records must be secure, especially when used in departments other than the nursing unit. However, this would not be the priority unless the charge nurse saw that someone without authorization was trying to look at the medical record.

Nursing

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Fill in the blank(s) with the appropriate word(s).

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