The nurse in a skilled nursing facility observes a colleague leaving printed electronic medical record (EMR) copies of a client unattended on a counter top. Which action should the nurse implement?
Warn the colleague that copying health information is unlawful.
Send an email to facility administrators reporting the action.
Communicate the colleague's activities to the unit charge nurse.
Dispose the copies and continue with client care assignments.
The Correct Answer is C
A. Warn the colleague that copying health information is unlawful:
While informing the colleague about the unlawful nature of copying health information is important, it may not adequately address the potential breach of patient privacy and confidentiality. Additionally, the colleague may be aware of the laws but still engage in inappropriate behavior.
B. Send an email to facility administrators reporting the action:
Reporting the colleague's actions to facility administrators may be necessary, but it may not be the most immediate action to take. Informing the unit charge nurse allows for more immediate intervention and resolution within the unit.
C. Communicate the colleague's activities to the unit charge nurse:
This is the most appropriate action because it informs the person in charge of the unit about the observed behavior, allowing for immediate intervention and potential corrective action. The unit charge nurse can address the situation promptly and ensure that patient privacy and confidentiality are maintained.
D. Dispose the copies and continue with client care assignments:
While disposing of the copies may prevent further unauthorized access to patient information, it does not address the issue of the colleague's inappropriate handling of the records. It's essential to report the incident to the appropriate authority for further investigation and follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Places food on the unaffected side of the mouth:
This is correct practice for clients at risk for aspiration. Placing food on the unaffected side helps ensure safer swallowing.
B. Raises the head of the bed to 60 degrees:
Clients at risk for aspiration-especially after a CVA (stroke)-should have the head of the bed elevated to at least90 degrees during feeding.60 degrees is insufficient to fully protect the airway and reduce the risk of aspiration.
C. Positions the head with the chin tilted slightly downward:
Positioning the head with the chin tilted slightly downward (chin tuck) helps close off the airway during swallowing, further reducing the risk of aspiration. This is another appropriate technique to minimize the risk of aspiration during feeding.
D. Allows 30 minutes of rest before feeding:
Resting reduces fatigue, which can improve swallowing safety and coordination.
Correct Answer is C
Explanation
A. "This unit has a policy against staff harassment."
This response addresses the client's cursing behavior directly and attempts to establish boundaries by referring to the unit's policy. However, it may come across as confrontational and could potentially escalate the situation further. While it's important to address inappropriate behavior, in this case, responding with empathy and understanding might be more effective in de-escalating the situation and building rapport.
B. "It is important to dress the right arm first."
This response focuses on the physical aspect of dressing and does not acknowledge the client's frustration or emotional state. While it provides guidance on dressing technique, it does not address the underlying issue of the client's struggle or emotional distress. In this situation, addressing the client's emotional needs and frustrations may be more beneficial.
C. "Dressing must be a frustrating experience for you."
This response demonstrates empathy and understanding towards the client's frustration. It acknowledges the client's emotional state and validates their feelings, which can help build rapport and trust. By expressing empathy, the nurse can create a supportive environment and open the door for effective communication with the client.
D. "We will give you a class on dressing tomorrow."
This response offers a solution for the future but does not address the client's immediate frustration or emotional distress. While education on dressing techniques may be helpful in the long run, it does not address the client's current struggle or provide support in the moment. In this situation, addressing the client's emotional needs and frustrations should take priority.
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