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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.
B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.
C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.
D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.
Correct Answer is A
Explanation
- A) Knowing the time the client received his last dose of pain medication is crucial for continuity of care, ensuring that the client receives their next dose on time and pain management is consistent.
- B) Personal beliefs about the client's relationships are not relevant to the medical care and should remain confidential unless it directly impacts the care plan.
- C) While important, the detailed steps for wound care will be included in the client's care plan and are not typically communicated during a change-of-shift report unless there is a change or an issue.
- D) The client's preferred time for bathing is a part of personal care preferences and, while important for client comfort, is not critical information for a change-of-shift report unless it affects immediate care needs.
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