A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?
Complete an incident report.
Log the previous user out of the system.
Report the incident to the charge nurse.
Offer to conduct a unit in-service on client confidentiality
The Correct Answer is B
B) Log the previous user out of the system:
The immediate action the nurse should take is to protect the client's confidentiality by logging out the previous user from the computer system. This ensures that unauthorized individuals do not have access to the client's health information. By taking this step promptly, the nurse mitigates the risk of unauthorized viewing of sensitive information.
A) Complete an incident report:
While completing an incident report is important for documenting the occurrence, it is not the first action the nurse should take. The priority is to address the immediate breach of confidentiality by securing the computer system to prevent further unauthorized access.
C) Report the incident to the charge nurse:
Reporting the incident to the charge nurse is essential, but it should follow the immediate action of logging out the previous user from the system. The charge nurse can then coordinate any necessary follow-up actions and ensure that appropriate measures are taken to prevent similar incidents in the future.
D) Offer to conduct a unit in-service on client confidentiality:
While staff education on client confidentiality is valuable for preventing future breaches, it is not the first action needed in response to the immediate situation. Addressing the current breach takes precedence to protect the client's privacy. Staff education can be considered as a proactive measure after addressing the immediate concern.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) The client reports insomnia:
Insomnia is a common symptom in Parkinson's disease but may not pose an immediate threat to the client's health or require urgent intervention compared to other symptoms such as difficulty swallowing.
B) The client requires additional help to stand:
While needing assistance to stand is indicative of the progression of Parkinson's disease and may require attention, it is not typically considered a priority over symptoms that directly impact the client's safety and well-being.
C) The client has increased difficulty dressing:
Increased difficulty dressing is a manifestation of Parkinson's disease progression and may impact the client's independence and quality of life. However, it is not as immediately life-threatening as difficulty swallowing.
D) The client has difficulty swallowing:
Difficulty swallowing, or dysphagia, is a serious concern in Parkinson's disease as it can lead to aspiration, malnutrition, dehydration, and respiratory complications such as pneumonia. It poses a significant risk to the client's safety and requires prompt attention to prevent complications. Therefore, it is the priority finding to report at the interprofessional care conference.
Correct Answer is B
Explanation
A) Informed consent:
While informed consent documents provide information about the proposed surgical procedure, they typically do not include information about organ donation. Informed consent focuses on the risks, benefits, and alternatives of the procedure being performed, as well as the client's agreement to undergo the procedure.
B) Advance directives:
Advance directives, such as a living will or healthcare proxy, can contain information about a client's preferences regarding organ donation. These documents specify the client's wishes regarding medical interventions, including organ donation, in the event that they become incapacitated and unable to make decisions for themselves. Advance directives guide healthcare providers and family members in honoring the client's preferences regarding end-of-life care and organ donation.
C) Do-not-resuscitate order:
A do-not-resuscitate (DNR) order instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. While organ donation preferences may be discussed in the context of end-of-life care decisions, a DNR order specifically pertains to resuscitative measures and does not provide information about organ donation.
D) Provider's prescription:
A provider's prescription typically pertains to specific medications or treatments ordered by the healthcare provider for the client's care. It does not typically contain information about organ donation. Organ donation preferences are typically documented in advance directives or other specific forms related to donation programs.
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