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 A
Explanation
A. Conducting staff communications away from the client's room reduces noise levels near the client, promoting a quieter environment conducive to sleep.
B. Minimizing unnecessary entries into the client's room during the night helps prevent disruptions to sleep.
C. Turning on the client's TV introduces additional noise and stimulation, which may further disrupt sleep.
D. Alarms on bedside monitoring equipment should not be turned off unless clinically appropriate to ensure the client's safety.
Correct Answer is A
Explanation
A. The hypoglossal nerve is tested by checking for tongue deviation.
B. This action tests the facial nerve
C. This action tests the trigeminal nerve
D. This action tests the spinal accessory nerve
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