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 the visitor viewed a client’s protected health information

Inform the visitor that client records are confidential

Answer and Explanation

The Correct Answer is A

A. Closing the documentation program on the computer is the most immediate action to prevent further unauthorized access to protected health information (PHI). It directly addresses the breach of confidentiality and limits potential damage.

B. While it is important to identify the staff member responsible for leaving the program open, this does not immediately address the current breach of confidentiality. This action would be a subsequent step after securing the PHI.

C. Notifying the charge nurse is an important step in the process of addressing the breach. However, it is not the first action to take as it does not prevent further exposure of the PHI.

D. Informing the visitor about the confidentiality of client records is necessary, but it is not the first action to take. The priority is to secure the PHI before addressing the visitor's behavior.

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Correct Answer is A

Explanation

a. This statement demonstrates an understanding of the importance of protecting personal health information by encrypting it when transmitting electronically, ensuring confidentiality.
b. Using another nurse's password violates client confidentiality and compromises security protocols.
c. Discarding personal health information documents in the trash without proper disposal methods can lead to unauthorized access and breach of confidentiality.
d. Posting a client's vital signs in their room could potentially compromise their privacy, as it may be viewed by unauthorized individuals.

A. Involve the client’s partner to assist with the teaching session B. Incorporate gestures and hand signals when presenting information C. Validate understanding by interpreting the client’s body language D. Provide an interpreter when obtaining consent for the client

Correct Answer is D

Explanation

a. Involving the client's partner may be helpful for additional support, but it does not ensure accurate communication if the partner also does not speak the same language as the client.
b. While incorporating gestures and hand signals can be useful, they may not fully convey complex medical information and may lead to misunderstandings.
c. Interpreting the client's body language can provide some insight into their understanding, but it may not accurately represent their comprehension of the information.
d. Providing an interpreter ensures accurate communication and understanding between the nurse and the client, promoting effective teaching and informed decision-making.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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