Which action by a newly licensed nurse indicates a breach of confidentiality needing intervention?

The action that indicates a breach of confidentiality is discussing changes in a client's plan of care with a friend who is a nurse. This represents a violation because it involves sharing sensitive patient information outside of the appropriate professional context and without the patient’s consent. Confidentiality in nursing is paramount; it ensures that personal health information is only shared with individuals directly involved in the patient's care, and only when necessary for treatment purposes.

In this case, sharing details about a client’s plan of care with a friend, even if that friend is also a nurse, does not meet these standards of confidentiality. Nurses are expected to protect their clients' privacy and to maintain professional boundaries, which includes not discussing clients’ information with individuals who are not involved in their care.

The other actions listed may involve sharing information but typically occur within appropriate professional boundaries. Faxing lab results to the client's provider is a standard practice as it is conducted within the healthcare team, which helps to coordinate care. Describing a client's level of independence to the case manager is appropriate since this information is necessary for the case manager to provide care effectively. Remaining in the room while a client reviews their own medical records is also acceptable, as the patient has the right to access their information, and the nurse's presence