A nurse is reviewing client confidentiality with other staff members.

The nurse should identify that which of the following actions is an example of protecting client confidentiality?

Giving change-of-shift report to a nurse outside the client's room

Discussing a client's prognosis with an assistive personnel who is caring for the client

Writing a client's diagnosis on the message board in the client's room

Discarding worksheets containing client information in a wastebasket

Answer and Explanation

The Correct Answer is B

A. This can be a breach of confidentiality, especially if the report includes sensitive information that can be overheard by others. Nurses need to avoid discussing patients in public areas (e.g., hallways). Conducting the shift-to-shift report should be done at the bedside.

B. This is an appropriate action to ensure continuity of care and to provide the assistive personnel with the necessary information to care for the client effectively. However, the discussion should be held in a private setting, such as a conference room or the client's room, to avoid any breaches of confidentiality.

C. This is a clear violation of confidentiality, as it exposes the client's private health information to anyone who may access the room.

D. This is a breach of confidentiality, as the information could be accessed by unauthorized individuals. The appropriate way to dispose of confidential information is to shred it or return it to the medical record.

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Correct Answer is A

Explanation

Allowing the toddler to explore and handle the equipment, such as a stethoscope or blood pressure cuff, can help familiarize them with the objects and reduce anxiety. It can be done under the supervision of the nurse to ensure safety.

Starting the examination with routine immunizations can be helpful because it allows the child to get through potentially uncomfortable or distressing procedures early on. It can also create a positive association between the examination and a sense of relief after receiving vaccinations. While it is important to provide age-appropriate explanations to the toddler, it's essential to keep the explanations simple and concise. Using child-friendly language and demonstrating the procedure using dolls or toys can help the toddler understand what will happen during the examination.

Instead of completely undressing the toddler, it is generally more comfortable and less distressing to only partially undress them. For example, the nurse can ask the caregiver to remove the toddler's shirt while leaving the pants on. This approach helps maintain the child's sense of security and provides a level of modesty.

A. Encourage the family to be with the child during mealtimes B. Obtain the child's dietary history C. Offer the child nutritious snacks between meals D. Instruct the family to praise the child when they eat

Correct Answer is B

Explanation

Correct answer: B

A.Family presence can provide comfort and support to the toddler, making mealtimes a more positive experience. It can also encourage the child to eat more by setting a good example. However, without first understanding the child's dietary habits and possible issues, this intervention might not address the root cause of the poor intake.

B.The nurse’sfirst actionin caring for a toddler with poor dietary intake should be toobtain the child’s dietary history. Understanding the child’s current eating habits, preferences, and any potential barriers to adequate nutrition is essential for planning appropriate interventions. Once the dietary history is obtained, the nurse can tailor further actions based on the specific needs of the child.

C.Offering nutritious snacks can help increase the child's overall calorie and nutrient intake, which is particularly important if the child has a low appetite during regular meals. Nevertheless, this step should follow the assessment of the child's dietary history to ensure that the snacks offered are appropriate and to avoid potential allergies or intolerances.

D.Positive reinforcement can encourage healthy eating behaviors and make mealtime a more enjoyable experience for the child. Praising the child can motivate them to eat more. However, this should be done after understanding the child's eating patterns and preferences to ensure that the praise is given in a context that promotes effective and lasting change.

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A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is reviewing client confidentiality with other staff members.

The nurse should identify that which of the following actions is an example of protecting client confidentiality?