A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

Logs oﬀ the computer after entering a client's intake and output totals.

Tears a document with client information in half before disposing of it in a waste basket.

Denies a request by another AP to use her password to enter client's vital signs.

Removes a clipboard with client information from the room during visiting hours.

Answer and Explanation

The Correct Answer is B

The nurse should intervene when the AP tears a document with client information in half before disposing of it in a waste basket. This is because client information is confidential and should be disposed of properly to protect the client's privacy. Tearing a document in half is not sufficient to ensure that the information is protected.
Option A is incorrect because logging oﬀ the computer after entering a client's intake and output totals is an appropriate action.
Option C is incorrect because denying a request by another AP to use her password to enter the client's vital signs is an appropriate action to protect the client's information.
Option D is incorrect because removing a clipboard with client information from the room during visiting hours may be necessary to protect the client's privacy.

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Correct Answer is C

Explanation

The correct answer is choice C. The nurse does not cause any harm to the client.

Choice A rationale:

While having a license to practice nursing in the state where the event occurred is important for professional practice, it is not a specific requirement for the Good Samaritan law to provide civil immunity.The Good Samaritan law generally protects individuals who provide emergency care in good faith, regardless of their licensure status in that particular state.

Choice B rationale:

Basic life support (BLS) certification is a valuable credential for performing CPR and other emergency procedures. However, the Good Samaritan law does not require the responder to have BLS certification to be protected.The law focuses more on the intent and actions of the responder rather than their specific certifications.

Choice C rationale:

The primary criterion for the Good Samaritan law to provide civil immunity is that the responder does not cause harm to the client.The law is designed to protect those who act in good faith to provide emergency care without gross negligence or willful misconduct. If the nurse’s actions are reasonable and do not result in harm, they are typically protected under the Good Samaritan law.

Choice D rationale:

Remaining with the client when traveling to the hospital in an ambulance is not a requirement for Good Samaritan law protection. The law applies to the immediate emergency care provided at the scene.Once professional medical personnel take over, the Good Samaritan law’s protection generally ends.

A. Assisting the client in selecting a low-residue diet. B. Performing a complex dressing change. C. Reviewing the steps of self-blood glucose monitoring with a client. D. Obtaining vital signs on clients who are stable.

Correct Answer is D

Explanation

Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Obtaining vital signs on clients who are stable [d] is a task that can be delegated to an AP.

The other options are not tasks that should be delegated to an AP. Assisting the client to select a low-residue diet [a] and reviewing the steps of self-blood glucose monitoring with a client [c] involves patient education and dietary planning, which are typically the responsibility of a licensed nurse. Performing a complex dressing change [b] is a complex task that requires specialized knowledge and skills.

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A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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