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.

Answer and Explanation

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.

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Correct Answer is ["B","E"]

Explanation

A. Client 5 (Streptococcal pharyngitis): Proper isolation and precautions were implemented, including a private room and surgical mask during transport. No follow-up is needed.
B. Client 4 (Mycobacterium tuberculosis): Requires follow-up. Tuberculosis requires a negative pressure room, not a positive airflow room. Positive airflow rooms are used for clients who need protection from outside pathogens, such as those who are immunocompromised.
C. Client 3 (Herpes simplex): Correct precautions were implemented. Herpes simplex (when involving open lesions) requires contact precautions, including gown and gloves. No follow-up is necessary.
D. Client 2 (Clostridium difficile): Appropriate precautions were taken, including a private room and the use of gown and gloves for direct care. No follow-up is needed.
E. Client 1 (Pertussis): Requires follow-up. Pertussis is transmitted via respiratory droplets, but placing the client in a negative pressure room is unnecessary. Droplet precautions (standard private room and surgical mask use within 3 feet) are sufficient. Negative pressure rooms are reserved for airborne infections such as tuberculosis.

A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective. B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired. C. A nurse documents that a client was shouting and directly quotes the client's words. D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse.

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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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the review of infection control precautions implemented by staff in a facility. Exhibits Select 2 client situations that require follow-up by the infection control nurse.

Correct Answer is ["B","E"]

Explanation

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Correct Answer is D

Explanation

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