A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?
The nurse manager
A nursing student who is completing a preceptorship on the unit
The unit clerk
No one
The Correct Answer is D
Sharing personal passwords for accessing electronic client records is a violation of healthcare privacy and security regulations, such as the Health Insurance Portability and Accountability Act (HIPAA). Personal passwords should never be shared with anyone, regardless of their role or position within the healthcare facility. Each individual accessing electronic records should have their own unique login credentials to maintain accountability and protect the confidentiality of client information.
A. The nurse manager: While the nurse manager may have legitimate reasons to access client records, they should do so using their own authorized credentials. Sharing passwords compromises security and accountability.
B. A nursing student who is completing a preceptorship on the unit: Nursing students should be provided with their own temporary login credentials or supervised access to client records as part of their educational experience. Sharing personal passwords with students is inappropriate and violates privacy regulations.
C. The unit clerk: Unit clerks may require access to certain client information for administrative purposes, but they should have their own authorized login credentials provided by the facility. Sharing passwords with non-clinical staff like unit clerks poses risks to client privacy and confidentiality.
D. No one: This option is the correct choice. Personal passwords should never be shared with anyone, as doing so compromises security, violates privacy regulations, and undermines accountability for accessing electronic client records.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. CD4 T cell count 180 cells/mm3: In a client with HIV, monitoring the CD4 T cell count is crucial for assessing immune function and determining the progression of the disease. A CD4 T cell count of less than 200 cells/mm3 indicates severe immunosuppression and an increased risk of opportunistic infections, making it the priority laboratory value to monitor in this client.
B. Platelets 150,000/mm3: While platelet count is important for assessing clotting function, it is not the priority laboratory value in a client with HIV. Thrombocytopenia can occur in HIV but is often secondary to other factors such as medication side effects or opportunistic infections. However, a platelet count within the normal range of 150,000/mm3 is reassuring and does not require immediate intervention.
C. WBC 5000 mm3: White blood cell (WBC) count is essential for assessing overall immune function, but it is not the priority laboratory value in a client with HIV. A WBC count of 5000 mm3 is within the normal range and does not require urgent attention.
D. Positive Western blot test: While a positive Western blot test confirms HIV infection, it does not provide information about the client's current immune status or the need for immediate intervention. Confirmatory tests such as Western blot are important for diagnosis, but they do not provide ongoing monitoring of disease progression or immune function.
Correct Answer is C
Explanation
A. Tell the child it is candy: Deceiving the child by telling them medication is candy can lead to trust issues and may cause confusion if the child later discovers the truth. It's important to promote honesty and transparency in healthcare interactions.
B. Tell the child he will have to have a shot instead: Threatening the child with a shot as an alternative to taking medication can induce fear and anxiety, making the child more resistant to cooperation. Using fear as a motivator can have negative psychological effects and should be avoided.
C. Offer the child a choice of taking the medication with juice or water: This strategy empowers the child by giving them a sense of control and autonomy over the situation. Offering choices can help the child feel more involved in their care and increase cooperation. By allowing the child to choose how they take the medication, they may be more willing to comply.
D. Hide the medication in a large dish of ice cream: While hiding medication in food may be effective for some children, it can undermine trust if the child discovers the deception. Additionally, this method does not teach the child how to take medication independently and may not be feasible in all situations. Offering choices and involving the child in the decision-making process is a more respectful and effective approach.
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