A nurse is assisting in the care of clients on a postpartum unit. Which of the following events should the nurse identify as needing to initiate a security alert for?
A hospital volunteer leaves the unit with the newborn to allow caregiver to rest.
Another nurse on the unit requests to take the newborn to the nursery to obtain newborn screening
An assistive personnel weighs and bathes the newborn in an empty client room.
The caregiver and newborn have matching hospital identification bracelets
The Correct Answer is A
A. A hospital volunteer leaves the unit with the newborn to allow caregiver to rest: Hospital volunteers are not authorized to transport newborns, especially off the unit. Removing a newborn without proper clinical authorization represents a significant security risk and requires immediate initiation of a security alert to prevent potential abduction.
B. Another nurse on the unit requests to take the newborn to the nursery to obtain newborn screening: A licensed nurse transporting a newborn for required screening is an expected and appropriate practice. This follows standard hospital protocol and does not indicate a security concern when proper identification procedures are followed.
C. An assistive personnel weighs and bathes the newborn in an empty client room: Assistive personnel may perform routine newborn care under facility policy and nursing delegation. While supervision and proper identification are required, this situation alone does not necessitate a security alert.
D. The caregiver and newborn have matching hospital identification bracelets: Matching identification bands indicate that correct newborn identification procedures are in place. This supports infant safety and does not represent a situation requiring security intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A nurse from another unit after a client commits suicide: Sharing confidential client information with staff not directly involved in the client’s care is a violation of privacy, even in the event of suicide. Only those providing care or requiring information for safety or treatment purposes should have access.
B. A client's employer who is concerned about safety due to substance use: Client health information cannot be shared with an employer without the client’s written consent, as this breaches confidentiality and HIPAA regulations. Employer concerns do not override the client’s right to privacy.
C. A client's partner after the client reports intimate partner abuse: Confidentiality must be maintained even in cases of abuse. Information should not be disclosed to a partner, as this could endanger the client further. Disclosure requires the client’s consent or legal mandate.
D. A social worker who is assigned to an involuntarily committed school-age client: Sharing relevant medical information with the social worker who is part of the client’s care team is appropriate. This ensures continuity of care, safety, and coordination of services while maintaining confidentiality within the care team.
Correct Answer is A
Explanation
A. Limit the number of choices for the client: Offering too many options can overwhelm a client with Alzheimer’s disease and increase confusion or agitation. Limiting choices helps the client make decisions more easily and promotes a sense of control.
B. Provide a stimulating environment for the client: Excessive stimulation can increase confusion, agitation, and anxiety in clients with Alzheimer’s disease. A calm, structured environment is more appropriate to support cognitive function and reduce behavioral disturbances.
C. Use written signs to assist the client with locating the bathroom: As Alzheimer’s progresses, clients often lose the ability to read or interpret written language (alexia). Using pictures or symbols (e.g., a picture of a toilet on the bathroom door) is much more effective than written words for assisting with navigation.
D. Use confrontation to manage the client's behavior: Confrontation can escalate agitation and aggression in clients with Alzheimer’s disease. Approaches should focus on redirection, reassurance, and validation rather than confrontation.
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