A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health information when sending emails.”
“I can use another nurse’s password as long as I log off after using the computer.”
“I should discard personal health information documents in the trash before leaving the unit.”
“I can post the client’s vital signs in the client’s room.”
The Correct Answer is A
a. "I should encrypt personal health information when sending emails."
This statement indicates an understanding of the importance of protecting confidential information during electronic communication. Encrypting personal health information in emails adds an extra layer of security to prevent unauthorized access.
b. "I can use another nurse’s password as long as I log off after using the computer."
This statement is incorrect and demonstrates a lack of understanding of client confidentiality. Sharing passwords is a violation of security policies and compromises the confidentiality of client information. Each nurse should have their unique login credentials to ensure accountability and traceability.
c. "I should discard personal health information documents in the trash before leaving the unit."
This statement is incorrect. Discarding personal health information in an unsecured manner, such as in the regular trash, can lead to unauthorized access and a breach of confidentiality. Proper disposal methods, such as shredding or using secure disposal containers, should be followed to protect sensitive information.
d. "I can post the client’s vital signs in the client’s room."
This statement is incorrect. Posting client information, including vital signs, in a public area like the client's room violates confidentiality. Personal health information should be shared only with authorized individuals involved in the patient's care and through secure communication methods. Posting such information in a public space compromises the client's privacy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation:
A. Report the infection to the local health department:
Reporting certain communicable diseases to local health departments is a crucial step in public health surveillance and control. However, reporting typically occurs at the healthcare facility or laboratory where the diagnosis is made, rather than by individual healthcare providers like nurses. While reporting chlamydia to the health department is important for tracking and managing the spread of the infection in the community, it is not the immediate responsibility of the nurse caring for the client with chlamydia.
B. Initiate contact precautions:
Contact precautions are measures taken to prevent the spread of infectious agents that are spread by direct or indirect contact with the client or their environment. Chlamydia is primarily transmitted through sexual contact and is not spread by casual contact or airborne transmission. Therefore, there is no indication for initiating contact precautions when caring for a client with chlamydia. Standard precautions, such as hand hygiene and appropriate use of personal protective equipment, are typically sufficient.
C. Instruct the client to use condoms until the treatment is complete:
When a client is diagnosed with chlamydia, it is essential to educate them about the importance of preventing the transmission of the infection to sexual partners and reducing the risk of reinfection. Instructing the client to use condoms consistently and correctly until the completion of treatment is a crucial step in preventing the spread of chlamydia. Condoms provide a barrier method of protection that can significantly reduce the risk of transmission of chlamydia and other sexually transmitted infections.
D. Apply an antiviral cream to the lesions:
Chlamydia does not typically cause visible lesions. It is caused by a bacterium, Chlamydia trachomatis, rather than a virus, so antiviral creams would not be effective in treating it. Chlamydia is treated with antibiotics, such as azithromycin or doxycycline, to eradicate the bacterial infection. Therefore, applying an antiviral cream would be an incorrect action and ineffective in treating chlamydia.
Correct Answer is A
Explanation
a. “The client is in the radiology department for a chest x-ray.”
This information is relevant as it informs the oncoming nurse about the client's current location and the reason for the absence from the unit. It helps maintain awareness of the client's whereabouts and the ongoing diagnostic process.
b. “The client’s partner came to visit him 2 hrs. ago.”
While it's important to document visitor interactions in the client's chart, informing about a visit from 2 hours ago during a change-of-shift report may not be as pertinent to immediate patient care as other information. This detail can be communicated through other means, such as the client's chart or communication log.
c. “The client has routine vital signs prescribed.”is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
d. “The client is the president of a local bank.”
While interesting, this information is not relevant to the client's current medical condition or care plan. It does not contribute to the immediate care needs of the client and can be considered extraneous during a change-of-shift report.
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