Texas Board of Nursing (BON) Practice Exam

What is a key ethical responsibility of nurses in Texas?

1. To perform all procedures independently

2. To maintain patient confidentiality and privacy

3. To offer personal advice to patients

4. To prioritize friendships with patients

The correct answer is: To maintain patient confidentiality and privacy

Maintaining patient confidentiality and privacy is a fundamental ethical responsibility for nurses in Texas, as outlined by the Texas Board of Nursing. This duty is grounded in the principles of respect for patient autonomy and the right to privacy regarding personal health information. By ensuring that sensitive patient information is kept confidential, nurses foster trust in the nurse-patient relationship, which is vital for effective healthcare delivery. Confidentiality is also legally reinforced through regulations such as HIPAA (Health Insurance Portability and Accountability Act) at the federal level, which protects individuals' medical records and personal health information from disclosure without patient consent. This ethical obligation is critical not only for patient safety but also for upholding the integrity of the nursing profession. Other choices, such as performing procedures independently or offering personal advice, can lead to ethical and professional dilemmas and could undermine the trust and safety established in the nurse-patient relationship. Prioritizing friendships with patients can also complicate professional boundaries necessary for providing impartial and effective care. Thus, confidentiality stands out as a key ethical responsibility, critical to the nursing practice.