A nurse overhears two assistive personnel discussing a client’s care in the cafeteria. Which of the following actions should the nurse take?

Complete an incident report about the breach of client confidentiality

Reassign the AP to other clients on the unit

Instruct the AP to discontinue the conversation

Notify the client’s provider about the incident

Answer and Explanation

The Correct Answer is C

a. Complete an incident report about the breach of client confidentiality:

While documenting the incident is important, completing an incident report alone may not address the immediate need to stop the breach of confidentiality.

b. Reassign the AP to other clients on the unit:

Reassignment may be considered after addressing the immediate issue, but it doesn't directly address the inappropriate conversation.

c. Instruct the AP to discontinue the conversation:

This is the correct immediate action. The nurse should intervene and instruct the assistive personnel to stop discussing the client's care in a non-secure location like the cafeteria.

d. Notify the client’s provider about the incident:

While notifying the client's provider may be necessary in certain situations, the immediate concern is to stop the breach of confidentiality and address the inappropriate conversation.

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Correct Answer is B

Explanation

a. Rotavirus: Rotavirus is a common cause of diarrheal illness, especially in infants and young children. While it can cause significant morbidity and mortality, it typically does not require reporting to the state health department unless there is an unusual outbreak or cluster of cases.

b. Pertussis: Pertussis, also known as whooping cough, is a highly contagious bacterial respiratory infection caused by Bordetella pertussis. It can lead to severe coughing fits, especially in infants and young children, and can be life-threatening, particularly in vulnerable populations. Due to its potential for causing outbreaks and serious illness, cases of Pertussis are typically reportable to the state health department for surveillance and control measures.

c. Respiratory syncytial virus (RSV): RSV is a common respiratory virus that can cause mild to severe respiratory illness, particularly in young children, older adults, and individuals with weakened immune systems. While RSV infections can lead to hospitalizations, they are not typically reportable to the state health department unless there is a concern for a widespread outbreak or unusual pattern of cases.

d. Group B streptococcus (GBS) is a bacterium commonly found in the genital tract of adults, and while it can cause serious infections in newborns, it's not typically reportable to the state health department unless there are specific circumstances such as outbreaks or unusual patterns of infection.

A. Root cause analysis B. Benchmarking C. Risk benefit analysis D. Structure audit

Correct Answer is B

Explanation

a. Root cause analysis:

Root cause analysis is a method used to identify the underlying causes of problems or adverse events. It involves systematically investigating an issue to determine the primary factors that contributed to its occurrence. Root cause analysis aims to identify not only the immediate causes but also the underlying systemic or process-related factors that led to the problem.

b. Benchmarking:

Benchmarking involves comparing an organization's performance, processes, or outcomes to those of other organizations or industry standards that are recognized as leaders or best practices. It allows organizations to identify areas for improvement by learning from the successes and best practices of others. Benchmarking can help organizations set performance targets, improve processes, and achieve excellence in various areas.

c. Risk benefit analysis:

Risk-benefit analysis is a method used to evaluate the potential risks and benefits associated with a decision, action, or intervention. It involves assessing the likelihood and severity of potential risks and comparing them to the expected benefits or outcomes. Risk-benefit analysis helps decision-makers weigh the advantages and disadvantages of different options to make informed decisions that maximize benefits while minimizing risks.

d. Structure audit:

A structure audit is an evaluation of the organizational structure, policies, procedures, and resources in place within an organization. It assesses the adequacy and effectiveness of the organizational infrastructure in supporting the delivery of services or achieving organizational goals. Structure audits help identify strengths and weaknesses in the organization's structure and processes, providing insights into areas that may require improvement or enhancement.

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A nurse overhears two assistive personnel discussing a client’s care in the cafeteria. Which of the following actions should the nurse take?

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