A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Reassign the AP to other clients on the unit
Instruct the AP to discontinue the conversation
Complete an incident report about the breach of client confidentiality
Notify the client's provider about the incident
The Correct Answer is B
Choice A reason: Reassigning the AP to other clients on the unit is not an appropriate action for the nurse to take. This action does not address the issue of the breach of client confidentiality, and it may disrupt the continuity of care for the clients. The nurse should not punish the AP without giving them feedback and education.
Choice B reason: Instructing the AP to discontinue the conversation is an appropriate action for the nurse to take. This action stops the violation of client confidentiality and protects the client's privacy and dignity. The nurse should also remind the AP of the ethical and legal principles of confidentiality, and the consequences of violating them.
Choice C reason: Completing an incident report about the breach of client confidentiality is not an appropriate action for the nurse to take. This action is not necessary, as the breach was not intentional or harmful to the client. The nurse should document the incident in the AP's performance evaluation, and provide guidance and coaching to prevent future occurrences.
Choice D reason: Notifying the client's provider about the incident is not an appropriate action for the nurse to take. This action is not relevant, as the provider is not responsible for the AP's behavior or education. The nurse should notify the AP's supervisor or manager, and collaborate with them to address the issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Candidiasis is not a reportable infection. It is a fungal infection that causes vaginal itching and discharge. It is not a sexually transmitted infection, but it can occur after antibiotic use or hormonal changes.
Choice B reason: Gonorrhea is a reportable infection. It is a bacterial infection that causes genital discharge, pain, and bleeding. It can also spread to other parts of the body and cause serious complications. It is a sexually transmitted infection that can be prevented by using condoms and treated with antibiotics.
Choice C reason: Human papillomavirus is not a reportable infection. It is a viral infection that causes genital warts and cervical cancer. It is a sexually transmitted infection that can be prevented by using condoms and getting vaccinated.
Choice D reason: Trichomoniasis is not a reportable infection. It is a parasitic infection that causes vaginal itching, burning, and odor. It is a sexually transmitted infection that can be treated with antiparasitic drugs.
Correct Answer is D
Explanation
The correct answer is: d. I need assistance with bathing
Choice A Reason:
"I need some help planning my meals to maintain my weight" is not an indication for a referral to an occupational therapist. This statement is more relevant to a dietitian, who specializes in nutrition and meal planning. Dietitians can help clients with rheumatoid arthritis maintain a healthy weight, which is important for managing the disease, but this does not fall under the scope of occupational therapy.
Choice B Reason:
"I'm having difficulty climbing the stairs at my house" is not an indication for a referral to an occupational therapist. This statement suggests a need for physical therapy, as physical therapists focus on improving mobility, strength, and balance. They can provide exercises and strategies to help clients navigate stairs and other physical challenges.
Choice C Reason:
"I'm tired of having pain in my joints all the time" is not an indication for a referral to an occupational therapist. This statement is a general complaint about pain, which would be managed by the primary care provider or rheumatologist. They can adjust medications and provide treatments to help manage the pain associated with rheumatoid arthritis.
Choice D Reason:
"I need assistance with bathing" is an indication for a referral to an occupational therapist. Occupational therapists help clients with activities of daily living (ADLs), such as bathing, dressing, and eating. They can provide adaptive equipment and techniques to help clients perform these tasks more independently and safely. This statement indicates a decline in the client's ability to perform ADLs, which is a key reason for referring to an occupational therapist.
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