A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?

The integrity of the unit

The nurse's personal growth

The safety of clients and families

The nurse's well-being

Answer and Explanation

The Correct Answer is C

A.   While maintaining the integrity of the unit is important, particularly concerning safety and professionalism, it should not be the primary focus in this scenario. Addressing the underlying issue of substance abuse is more crucial to ensure a safe environment for patients and staff.
B.   Supporting the nurse's personal growth is important, especially in recovery. However, personal growth cannot be the primary concern when the nurse's behavior poses significant risks to patient safety. While this can be a component of the overall approach, it should not overshadow immediate safety concerns.
C.   The safety of clients and families must be the top priority in this situation. The nurse’s substance abuse poses a direct risk to patient safety, and addressing this risk is essential. Ensuring that clients and families are safe should guide the manager's actions in handling the nurse's behavior.
D.   The well-being of the nurse is certainly important and should be considered in the context of providing support and resources for recovery. However, in this case, the immediate risk to patients takes precedence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. A client's address is indeed considered personally identifiable information (PII) under HIPAA, which protects an individual's health information that can be used to identify them.
B. This statement is true. HIPAA is a federal law that sets standards for the protection of health information. However, state laws can provide additional protections but cannot be less stringent than HIPAA.
C. This statement indicates a need for further teaching. Under HIPAA, health information can only be disclosed to family members if the client has given consent or if it is in the best interest of the client (such as in emergencies). Without patient authorization, healthcare providers cannot disclose information freely.
D. This statement is accurate. HIPAA indeed regulates how individually identifiable health information is managed and protected, regardless of the format in which it is stored or communicated (verbal, electronic, or written).

A. A staff nurse filing an event report after making a medication error. B. A nurse manager abuses their power by humiliating a new nurse in front of their peers for making a medication error. C. A charge nurse improperly uses authority by condescending a new nurse who asked them a question about medication administration. D. Sexual harassment of a patient by their primary nurse.

Correct Answer is A

Explanation

A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing information about the Health Insurance and Portability Act (HIPPA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is C

Explanation

Which of the following behaviors would not have disciplinary or legal consequences?

Correct Answer is A

Explanation

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not- resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?