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","D"]

Explanation

A. Teach a client about hemodialysis: This task requires an RN's advanced education and assessment skills.
B. Assist in checking a unit of packed RBCs to administer to a client: Assisting in double-checking blood products is within the scope of practice, although administration requires an RN.
C. Create a plan of care for a client's discharge: Developing a comprehensive discharge plan is a responsibility of the RN.
D. Regulate the client's infusion pump after initiating a heparin drip infusion: Once the heparin drip is initiated by an RN, LPNs can regulate the infusion pump.

A. AU B. ADL C. HS D. SQ

Correct Answer is B

Explanation

A. AU (both ears): This abbreviation is not recommended because it can be misinterpreted as referring to the eyes (OU) or ears (AU). The Joint Commission discourages using abbreviations that can lead to errors.
B. ADL (activities of daily living): This is a widely accepted and standardized abbreviation in healthcare documentation. It is not prone to misinterpretation.
C. HS (hour of sleep): HS can be misinterpreted as "half-strength." Therefore, it is not recommended for use in documentation according to best practice guidelines.
D. SQ (subcutaneous): SQ can be misread as "SL" (sublingual) or mistaken for "5 every." The recommended abbreviation is "subcut" or "subcutaneous."

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is B

Explanation

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