A nurse enters the hallway and discovers a visitor looking at a client’s medical information on a computer. Which of the following actions should the nurse take first?
Close the documentation program on the computer
Find out which staff member left the documentation program on the screen
Tell the charge nurse that visitor viewed a client’s protected health information
Inform the visitor that client records are confidential
The Correct Answer is A
- Rationale for A: Closing the documentation program immediately ensures that no further unauthorized viewing of the client's medical information occurs. It is the most direct action to protect the client's confidentiality and should be the nurse's first priority in this situation.
- Rationale for B: While it is important to identify the staff member responsible for leaving sensitive information accessible, it is not the first action that should be taken. The immediate risk to patient confidentiality must be addressed before investigating the cause.
- Rationale for C: Notifying the charge nurse is an appropriate step, but it is not the first action to take. The priority is to stop the unauthorized access before reporting the incident.
- Rationale for D: Informing the visitor about the confidentiality of client records is important, but it should follow the immediate action of securing the information. Once the information is secure, the nurse can then address the visitor's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) An asymmetrical thorax suggests a potential life-threatening condition such as a tension pneumothorax, which can lead to respiratory distress and requires immediate intervention.
B) While an open fracture of the femur is serious and requires medical attention, it is not immediately life-threatening if properly immobilized and the patient's vitals are stable.
C) Preorbital edema may indicate trauma to the facial area, but it is not typically considered an emergent condition unless it is affecting the airway, vision, or there are signs of a more serious underlying condition.
D) A deep-partial thickness burn on the lower extremities, although painful and requiring treatment, is not prioritized as emergent over airway, breathing, or circulation concerns.
Correct Answer is A
Explanation
a. Determining the reasons behind the nurses not taking scheduled breaks is essential to address any underlying issues or concerns that may be contributing to the behavior.
b. Providing coverage for the nurses' breaks may be necessary but should come after understanding why they are not taking breaks in the first place.
c. Reviewing facility policies for taking scheduled breaks is important, but understanding the reasons for non-compliance should be the first step in addressing the issue.
d. Discussing time management strategies with the nurses may be helpful, but it should come after identifying the root cause of their behavior.
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