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 A
Explanation
a. In emergency situations where obtaining informed consent is not feasible due to the client's unconscious state and immediate need for surgery to preserve life or prevent further harm, the client may be transported to the operating room without obtaining formal consent. This action is based on the principle of implied consent for emergent, life-saving interventions.
b. Delaying surgery to obtain informed consent could result in further harm to the client if immediate intervention is necessary to stabilize their condition.
c. Obtaining telephone consent from the facility administrator is not appropriate in this situation, as the client's immediate medical needs take precedence over administrative procedures.
d. Asking the anesthesiologist to sign the consent is not appropriate, as consent should ideally be obtained from the client or their legally authorized representative.
Correct Answer is A
Explanation
Rationale:
a. Droplet precautions require healthcare workers to wear a surgical mask when within 3 feet of the client to prevent the transmission of respiratory droplets containing infectious agents like influenza.
b. While high-efficiency particulate air (HEPA) filtration systems can help improve air quality, they are not specifically required for implementing droplet precautions.
c. N95 respirators are typically reserved for airborne precautions, which are not indicated for influenza.
d. Assigning the client to a room with positive airflow is not necessary for implementing droplet precautions; standard precautions such as wearing a surgical mask are sufficient.
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