NCLEX-PN® ExaminationCoordinated CareHard
An LPN is assisting with the care of a client who has a history of opioid use disorder and is receiving methadone maintenance therapy. The client expresses concern about the stigma associated with methadone and requests that their family not be informed about this treatment. What is the LPN's MOST appropriate action regarding confidentiality?
- AInform the client that family members have a right to know about their treatment.
- BSuggest the client discuss their methadone treatment with their family to foster trust.
- CAdvise the client that the LPN cannot guarantee confidentiality if family asks directly.
- DDocument the client's request and ensure the information is not shared with family without consent.
Show answer & explanationAnswer & explanation
Correct answer: D. Document the client's request and ensure the information is not shared with family without consent.
Client confidentiality is a fundamental ethical and legal principle, especially in sensitive areas like substance use disorder treatment. The LPN must respect the client's right to privacy and ensure that protected health information (PHI) is not disclosed to family or others without the client's explicit consent, even if the family asks directly.
Why the other options are wrong
- A. Family members do not automatically have a right to know about an adult client's treatment without the client's consent.
- B. While discussing with family might be beneficial for the client, it is the client's decision to make, and the LPN should not suggest or pressure them into sharing private information.
- C. The LPN can and must guarantee confidentiality within legal and ethical limits. This statement is inaccurate and undermines client trust and their right to privacy.
Confidentiality: Client Consent for Disclosure
The ethical and legal obligation of healthcare providers to protect client information and not disclose it to unauthorized individuals without the client's explicit consent.
- Protected by HIPAA (Health Insurance Portability and Accountability Act).
- Applies to all protected health information (PHI).
- Client consent is required for disclosure to family, friends, or other non-care team members.
Memory trick: Confidentiality is a closed door, unless the client says 'come in'.