護理師對愛滋病（HIV）病人的隱私保護，哪項行動顯示其理解正確？
Which of the following actions demonstrates the nurse's understanding of confidentiality for a client with HIV?
- ATelling the client's family about the diagnosis告知病人家屬診斷結果
- BPosting the diagnosis on the chart exterior for staff awareness將診斷張貼於病歷外部以供同仁知悉
- CSharing the diagnosis with the housekeeping staff與清潔人員分享診斷資訊
- DDiscussing the client's status only with the health care team directly involved✓ 正解僅與直接參與照護的醫療團隊討論病人狀況
醫療隱私（Confidentiality）是病人的基本權益。護理師必須嚴格遵守「最小必要原則（Need-to-know basis）」，僅能與直接參與病人照護的醫療團隊成員討論病人病情。任何非直接照護人員（如清潔人員、無關科室人員）皆不得獲知診斷。未經病人同意，絕對不能向家屬洩露病情，這是護理倫理與 HIPAA 規範的要求。
Confidentiality is a fundamental patient right. The nurse must strictly adhere to the 'need-to-know' principle, discussing the patient's condition only with members of the healthcare team directly involved in the patient's care. Non-direct care personnel (such as cleaning staff or unrelated department personnel) must not be informed of the diagnosis. Without the patient's consent, information must never be disclosed to family members; this is required by nursing ethics and HIPAA regulations.