A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
Tell the APS to stop the conversation.
Document the event in the client's progress notes.
Inform the client of the AP's actions.
Submit an incident report to the risk manager.
The Correct Answer is A
Maintaining confidentiality and protecting the privacy of clients is a fundamental responsibility of healthcare professionals.
When the nurse becomes aware of a conversation between APs that breaches this confidentiality, it is essential to intervene promptly.
The nurse should approach the APs and respectfully ask them to stop the conversation and remind them about the importance of maintaining client confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Perpetrators of child abuse often exhibit rigid expectations of behavior, demanding strict adherence to rules and may have unrealistic or age-inappropriate expectations for their children. This can lead to increased stress and frustration, which may manifest in abusive behaviors.
Laissez-faire leadership style: A laissez-faire leadership style refers to a hands-off or
non-directive approach, where individuals allow others to make decisions and take control. While this leadership style may have its own implications, it is not specifically associated with child abuse.
Self-blame for financial problems: Self-blame for financial problems may indicate feelings of guilt or personal responsibility for economic difficulties. While financial stress can contribute to increased risk of child abuse, self-blame alone is not a characteristic specific to perpetrators of child abuse.
High self-esteem: High self-esteem refers to a positive self-regard and belief in one's abilities and worth. While low self-esteem can contribute to various psychological issues, including potential difficulties in parenting, high self-esteem is not a characteristic specifically associated with perpetrators of child abuse.
Correct Answer is A
Explanation
a. Clean the stoma using an inward to outward circular motion.
When providing tracheostomy care, the nurse should clean the stoma using an inward to outward circular motion to remove any secretions or debris. It is important to avoid using excessive force or pressure, which can cause trauma to the stoma. Cleansing the inner cannula with isopropyl alcohol may be appropriate for some clients, but it is important to follow the healthcare provider's orders regarding inner cannula care.
When securing the tracheostomy ties, the nurse should ensure that there is enough space for two fingers, not three. Finally, the nurse should prepare sterile supplies before removing the inner cannula to ensure that they are readily available and reduce the risk of infection.
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