A student nurse is assigned a patient to provide care for throughout the day. Which of the following actions would violate client confidentiality?
Providing a detailed SBAR report to the primary nurse
Collaborating with the patient care technician for hygiene care.
Discussing the client's medications with the clinical instructor.
Writing the client's initials on the student care plan.
The Correct Answer is D
A. Providing a detailed SBAR report to the primary nurse: SBAR (Situation, Background, Assessment, Recommendation) is a standard communication tool used among healthcare professionals to ensure continuity of care. Since this report is given to the primary nurse who is part of the healthcare team, it does not violate confidentiality.
B. Collaborating with the patient care technician for hygiene care: Patient care technicians (PCTs) are part of the healthcare team, and sharing necessary patient information with them to ensure hygiene care does not breach confidentiality.
C. Discussing the client's medications with the clinical instructor: A clinical instructor is responsible for overseeing student learning and patient safety. As long as the discussion is conducted in an appropriate setting (e.g., away from unauthorized persons), it does not violate confidentiality.
D. Writing the client's initials on the student care plan: Even using initials instead of a full name can still be considered identifiable information if someone can link it to a specific patient. To maintain confidentiality, students should use de-identified data in their care plans.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Determine the dose per administration:
- 1000 mg ÷ 250 mg/capsule = 4 capsules per dose
Calculate the total per day:
- Since the order is every 12 hours, the medication is given twice a day
- 4 capsules per dose × 2 doses per day = 8 capsules per day
Correct Answer is C
Explanation
A. Slough tissue is present: Slough tissue (yellow or white non-viable tissue) can be seen in stage III or IV ulcers but does not alone define a stage IV injury.
B. Adipose tissue is present: Fat (adipose tissue) exposure indicates a stage III ulcer, not necessarily stage IV.
C. Fascia tissue is present: Stage IV pressure injuries extend into deep tissues such as fascia, muscle, tendon, cartilage, or bone, distinguishing them from stage III ulcers.
D. Undermining is present: Undermining (tissue destruction extending under intact skin) can occur in both stage III and IV ulcers, so it is not a defining feature.
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