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?
Log the previous user out of the system.
Offer to conduct a unit in-service on client confidentiality.
Report the incident to the charge nurse.
Complete an incident report.
The Correct Answer is A
A. Logging the previous user out of the system immediately ensures the client's health information is no longer visible, protecting the client's privacy according to HIPAA guidelines.
B. Offering to conduct an in-service on client confidentiality is a proactive measure but does not address the immediate privacy issue.
C. Reporting the incident to the charge nurse is appropriate but does not prevent unauthorized viewing of the client's information immediately.
D. Completing an incident report is necessary to document the breach, but it should occur after protecting the client’s privacy by logging out.
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Related Questions
Correct Answer is C
Explanation
A. While the pharmacy should be notified of errors to improve systems, the immediate priority is the client's safety and the provider's notification. Reporting to the pharmacy manager is a secondary administrative step, not the first or most critical action.
B. Incident reports should not be placed in the client's medical record, as they are separate documents meant for internal review and quality improvement.
C. When a medication error occurs, the nurse’s primary responsibility is to ensure the safety of the client and maintain an accurate medical record of what actually happened to the patient.
D. Contacting the nurse from the previous shift may be necessary for understanding the situation, but the priority is to report the incident properly to ensure patient safety.
Correct Answer is D
Explanation
A. Encouraging the expression of feelings about illness can be a part of patient-centered care, but it does not fully encompass the role of advocacy, which involves more comprehensive support for the client's needs.
B. Reinforcing teaching about prescribed medications is important but falls under education and patient care rather than advocacy itself.
C. Collaboration with other team members is essential in providing holistic care but does not solely represent advocacy, which focuses more on the client's interests.
D. Supporting the client's needs is the core of advocacy, as it involves standing up for the client's rights, preferences, and well-being within the healthcare system.
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