A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)
Removing client information from fax machines immediately.
Discussing clients at the table in the cafeteria.
Disposing of written report sheets into the facility trash receptacle.
Giving verbal reports at the change of shift in a designated conference room.
Correct Answer : B,C,E
Discussing clients at the table in the cafeteria [b], disposing of written report sheets into the facility trash receptacle [c], and sharing a personal password with a coworker [e] are all actions that jeopardize client confidentiality. Client information should be kept private and secure at all times. Discussing clients in public places or disposing of client information in an unsecured manner can result in unauthorized access to confidential information. Sharing personal passwords can also compromise the security of client information.
The other options do not jeopardize client confidentiality. Removing client information from fax machines immediately [a] helps to prevent unauthorized access to confidential information. Giving verbal reports at change of shift in a designated conference room [d] is a standard practice that allows for the secure transfer of client information between healthcare providers.
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Related Questions
Correct Answer is B
Explanation
The charge nurse should include the statement "The final step in delegation is evaluation of the outcomes" in the teaching. This is because it is important for the nurse to evaluate the outcomes of delegated tasks to ensure that they have been completed correctly and that the client's needs have been met.
Option A is incorrect because it is not the AP's responsibility to document the client's outcome for a delegated task.
Option C is incorrect because a delegated task should have predictable outcomes.
Option D is incorrect because the nurse does not give up accountability for client outcomes when care is delegated. The nurse remains accountable for ensuring that the delegated task is completed correctly and that the client's needs are met.
Correct Answer is D
Explanation
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as assisting with activities of daily living, hygiene, and nutrition, as well as those tasks that support professional nursing assessments ². Providing postmortem care for a client who has died [d] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP. Educating a client on the use of a blood glucose monitor [a] involves patient education, which is typically the responsibility of a licensed nurse.
Interpreting a client's vital signs [b] involves assessing the client's health status, which is also typically the responsibility of a licensed nurse. Performing a central line dressing change for a client [c] is a complex task that requires specialized knowledge and skills.
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