A nurse is reinforcing teaching with a newly licensed assistive personnel (AP) who has violated a client's confidentiality. Which of the following actions should the nurse take? (Select all that apply.)
Decline documenting the first counseling session.
Communicate expected behavior to the AP.
Explain to the AP the consequences of the behavior.
Allow the AP time to respond to the counseling information.
Conduct the counseling session with another AP present.
Correct Answer : B,C,D
A. Decline documenting the first counseling session: Documentation is necessary to maintain accurate records of counseling sessions.
B. Communicate expected behavior to the AP: Reinforcing the expectations helps clarify appropriate behavior.
C. Explain to the AP the consequences of the behavior: Understanding potential consequences encourages adherence to confidentiality standards.
D. Allow the AP time to respond to the counseling information: Allowing the AP to respond fosters a two-way communication approach and encourages accountability.
E. Conduct the counseling session with another AP present: Counseling sessions should remain private to maintain confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Close the door to the client's room: This helps contain the fire and prevents smoke from spreading, but it should not be the immediate action after client removal.
B. Activate the alarm outside the client's room: Activating the alarm is critical after ensuring the client's safety, as it alerts the facility to the emergency and mobilizes response teams.
C. Use a Class A fire extinguisher to contain the fire: The type of extinguisher used depends on the fire classification. Attempting to extinguish a fire should occur only after the alarm is activated.
D. Turn off electrical equipment in the client's room: While turning off electrical equipment can reduce fire hazards, it is not the next priority after removing the client.
Correct Answer is D
Explanation
A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective: This does not meet the criteria for slander, as it involves a potential clinical plan of care rather than false statements.
B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired: Communication during a private meeting does not constitute slander.
C. A nurse documents that a client was shouting and directly quotes the client's words: Documenting client behavior accurately in the medical record does not qualify as slander.
D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse: Slander involves making false verbal statements that harm someone's reputation. If overheard, this constitutes slander.
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