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 B
Explanation
A. Inserting a straight urinary catheter for a client:
Inserting a urinary catheter involves a sterile procedure and requires the specialized skills of a licensed nurse. This task should not be delegated to assistive personnel.
B. Performing perineal care for a client who has an indwelling urinary catheter.
Delegating tasks should align with the education, training, and scope of practice of the assistive personnel. Performing perineal care for a client with an indwelling urinary catheter is a task that can be appropriately delegated to assistive personnel. This task involves basic hygiene and does not require the advanced skills or knowledge of a licensed nurse.
C. Showing a client how to use an incentive spirometer:
Educational tasks, such as demonstrating how to use an incentive spirometer, require knowledge and understanding of the device, as well as the ability to assess and respond to the client's needs. This task is best performed by a licensed nurse.
D. Increasing oxygen flow for a client who has a nasal cannula:
Adjusting oxygen flow involves assessing the client's condition and making decisions based on the client's oxygenation needs. This task requires the clinical judgment of a licensed nurse and should not be delegated to assistive personnel.
Correct Answer is C
Explanation
A. "A client can obtain a copy of their psychotherapy notes":
This statement is incorrect. Psychotherapy notes are generally not accessible to clients without specific authorization.
B. "I can remain logged-on to my computer if I step away for less than 5 minutes":
This statement is incorrect. It is essential to log off from the computer when stepping away to protect the confidentiality of client information.
C. "I will ensure that my screen isn't visible to others when I'm documenting":
This is the correct answer. Ensuring that the computer screen is not visible to others is an important practice to maintain confidentiality. It prevents unauthorized individuals from accessing sensitive client information.
D. "I will create a simple password that is easy to remember":
This statement is not recommended. Passwords should be strong and secure to protect against unauthorized access. Using a simple and easily guessable password compromises the confidentiality of electronic health records.
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