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NCLEX-PN
NCLEX-PN
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13 more sections with scenarios, priorities, and review drills.
Tarasoff applies to IDENTIFIABLE third parties — a general statement of 'I want to hurt someone' without identification does not trigger the same specific duty
CHAMPS for confidentiality exceptions: Child/elder abuse reporting, HIV/communicable disease, Abuse of dependent adults, Motor vehicle impairment (state-specific), Protection duty (Tarasoff), Suicidality/self-harm imminent. Tarasoff WARN: Warn victim, Alert law enforcement, Refer for hospitalization, Notify (document everything).
Clinical framing, safety cues, prioritization patterns, and exam-style rationale for Confidentiality.
For Confidentiality, connect the assessment cue to the immediate risk before selecting an action for PN. Start with stability, ABCs, neurologic change, medication risk, infection risk, and scope of practice. Then decide whether the safest next step is assess, intervene, escalate, teach, or evaluate response.
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A missed priority in Confidentiality can delay recognition of deterioration or allow preventable harm to continue. Safety focus: CHAMPS for confidentiality exceptions: Child/elder abuse reporting, HIV/communicable disease, Abuse of dependent adults, Motor vehicle impairment (state-specific), Protection duty (Tarasoff), Suicidality/self-harm imminent. Tarasoff WARN: Warn victim, Alert law enforcement, Refer for hospitalization, Notify (document everything).
In a Confidentiality item, explain the first cue you noticed, the complication it predicts, the nursing action within scope, and the finding that proves the response worked.
Tarasoff applies to IDENTIFIABLE third parties — a general statement of 'I want to hurt someone' without identification does not trigger the same specific duty This keeps Confidentiality reasoning tied to client safety instead of recall-only studying.
Review this topic against the current pathway blueprint or test plan, facility policy, medication monographs, and current clinical practice guidance. NurseNest content is educational and should be reconciled with local protocols and provider orders.
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