If a neighbor inquires about a terminally ill client, what should the HHA primarily say?

The best response in this scenario is to say, "I can't discuss Mr. Davis." This answer adheres to the principle of patient confidentiality, which is a fundamental aspect of healthcare. As a Home Health Aide, it is crucial to respect the privacy of clients, especially regarding sensitive information such as health status, particularly in the case of terminal illness.

Maintaining confidentiality not only protects the dignity and privacy of the client but also complies with legal and ethical standards within the healthcare profession. Clients have the right to control who knows about their health condition, and by refusing to share any details, the HHA is upholding this right.

Other responses do not support confidentiality as effectively. A response indicating that the client is "very sick" could inadvertently share too much information, while asking "Why do you ask about him?" may invite further inquiries into the client's status, leading to potential breaches of privacy. Stating "It's a private matter" does recognize the need for confidentiality but is less direct than stating the inability to discuss the client. Therefore, the choice to say "I can't discuss Mr. Davis" is the most appropriate and professional response.