Which step best protects patient privacy when ending a therapeutic relationship due to safety concerns?

• A. Publicly disclose patient information to justify discharge.
• B. Communicate clearly and protect patient privacy, ensuring continuity of care.
• C. Share all medical details with family without consent.
• D. Ignore privacy concerns to expedite discharge.

Answer: (B)

Safeguarding privacy while arranging a safe, orderly transition when ending a therapeutic relationship is essential. The best approach is to communicate with the patient clearly about the plan and to protect their confidential information, sharing only what is necessary for their ongoing safety and care. This supports trust, respects autonomy, and ensures continuity of care by coordinating a secure handoff to the next provider or setting. By documenting the safety concerns and the transfer plan, and by obtaining or clarifying consent as required, the nurse helps ensure the patient’s information is handled responsibly while still facilitating a smooth transition to appropriate care.

Publicly disclosing patient information to justify discharge breaches confidentiality and can cause harm, so it is not appropriate. Sharing all medical details with family without consent violates privacy and can undermine trust. Ignoring privacy concerns to expedite discharge prioritizes speed over patient rights and safety, which is unethical and unsafe.