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A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?

Report the observation to the nurse caring for that client.

Inform the nursing supervisor.

Approach the man and ask why he is making copies.

Notify hospital security.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Reporting the observation to the nurse caring for that client is important but not the immediate priority.

B. Informing the nursing supervisor is necessary but should be done after assessing the situation directly.

C. Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.

D. Notifying hospital security may be necessary if the man’s actions are unauthorized, but the first step is to gather more information.

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Correct Answer is A

Explanation

Rationale:

A. Comparing the number of medication errors before and after implementing changes provides a direct measure of the effectiveness of those changes.

B. Conducting a study on costs is relevant but not directly related to evaluating the effectiveness in reducing medication errors.

C. Establishing a benchmark is useful for setting standards but does not measure the impact of changes already implemented.

D. Quantifying staff satisfaction is important for assessing the acceptance of changes but does not directly measure the effectiveness in reducing errors.

A. "I want you to review the facility's policy on personal attire before you begin the shift." B. "There is a higher risk of infection for our clients associated with artificial nails." C. "Why would you wear artificial nails to work when you know it's against the rules?" D. "You should know that artificial nails have a very unprofessional appearance."

Correct Answer is B

Explanation

Rationale:

A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.

B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.

C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.

D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.

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A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

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Correct Answer is B

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