A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Complete an incident report about the breach of confidentiality.
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Contact facility security to remove the nurse from the unit.
The Correct Answer is C
A. Completing an incident report about the breach of confidentiality may be necessary, but it
should not be the first action. The immediate concern is addressing the behavior and reminding the nurse of proper protocol.
B. While it may be true that permission from the risk manager is required to access certain
records, this response does not address the immediate issue of the unauthorized access. It's more important to address the behavior directly.
C. This is the most appropriate action because it directly addresses the unauthorized access to the client's medical record. Reminding the nurse of the proper protocol for accessing medical records can help prevent further breaches of confidentiality.
D. Contacting facility security to remove the nurse from the unit may be excessive at this stage and should be considered if the behavior persists after reminders about proper protocol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Using overhead lighting can disrupt the client's sleep by increasing stimulation; instead, use minimal lighting during nighttime assessments.
B. Keeping the door to the client's room closed can help reduce noise and disturbances from the hallway, promoting a more conducive sleep environment.
C. Providing snug-fitting nightwear may not directly address the underlying causes of insomnia and might not be effective for all clients.
D. Administering diuretics in the evening may exacerbate nocturia and disrupt sleep patterns; instead, diuretics are typically given earlier in the day to minimize nighttime urination.
Correct Answer is C
Explanation
A. While obtaining consent from the client is ideal, it may not be appropriate if the client is unable to understand and make an informed decision due to their developmental disability.
B. The provider cannot sign the consent form in place of the legal guardian or the patient, as this would be a conflict of interest.
C. In emergency situations where delaying the procedure could jeopardize the client's life, and the appointed guardian cannot be reached, implied consent is assumed. This means that life-saving treatment can proceed without formal consent.
D. Postponing an emergency procedure that is necessary to save the client's life is not appropriate. In such cases, the surgery should proceed under implied consent.
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