A nurse overhears two assistive personnel (AP) in the cafeteria discussing a client's care during lunch. Which of the following actions should the nurse take?
Ask the APs to discontinue the conversation.
Inform the client what has occurred.
Notify the client's provider.
Schedule a disciplinary conference for the APS.
The Correct Answer is A
Ask the APs to discontinue the conversation:
This is the most appropriate immediate action. Discussing a client's care in a public area violates the principle of patient confidentiality. The nurse should intervene promptly and ask the assistive personnel to stop the conversation.
Inform the client what has occurred:
While transparency with the client is important, it may not be the first action to take in this situation. The priority is to address the breach of confidentiality by stopping the conversation.
Notify the client's provider:
Notifying the client's provider is not the initial action to take in this situation. First, the nurse should address the immediate issue by stopping the inappropriate conversation. The provider may be informed later, if necessary.
Schedule a disciplinary conference for the APs:
Scheduling a disciplinary conference is a step that may be taken after addressing the immediate issue. The priority is to stop the inappropriate conversation and address confidentiality concerns before considering disciplinary actions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To calculate the volume (mL) that the nurse should administer, you can use the following formula:
- Volume (mL)=Dose (mg)/Concentration (mg/mL)
In this case:
- Volume =30 mg/15mg/mL
- Volume=2mL
Therefore, the nurse should administer 2 mL of ketorolac for the 30 mg loading dose, rounded to the nearest whole number.
Correct Answer is D
Explanation
A. The statement "The costs associated with complications after a surgical procedure are factored into the scheduled reimbursement" is incorrect. Complications after a surgical procedure may lead to increased costs, but these costs are not always fully reimbursed. Preventing complications is a key strategy to control costs, as it can reduce the need for additional resources and interventions.
B. The statement "Charging the client for only a portion of the supplies used will help to decrease the costs to the hospital" is not a sustainable or ethical approach to cost containment. Proper billing practices and transparency are essential in healthcare, and passing on costs to clients in an arbitrary manner can lead to ethical and legal issues.
C. The statement "A high cost of treatment ensures that the best quality of care was provided to the client" is incorrect. While high-quality care is important, high costs do not necessarily guarantee quality. Cost-effectiveness and efficiency in healthcare delivery are critical considerations to ensure quality care without unnecessary expenses.
D. The statement "Client care should be organized for efficient use of time" is correct. Efficient organization of client care helps optimize resources, reduce unnecessary delays, and enhance overall productivity. Streamlining processes and workflow contributes to effective cost containment within a healthcare facility.
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