A patient says, "Please don't share information about me with the other people." How should the nurse respond?
a. "I won't share information with your family or friends without your permission, but I will share information about you with other staff members."
b. "A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know."
c. "It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others."
d. "I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us."
ANS: A
A patient has the right to know with whom the nurse will share information and that confidentiality will be protected. Although the relationship is primarily between the nurse and patient, other staff members need to know pertinent data. The other incorrect responses promote incomplete disclosure on the part of the patient, require daily renegotiation of an issue that should be resolved as the nurse-patient contract is established, and suggest mutual problem solving. The relationship must be patient centered.
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