A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

Logging off the computer after entering a client's intake and output totals.

Posting the client's medical diagnosis on a message board in the client's room.

Discarding her nursing activity worksheet in a waste basket at the nurse's station at the end of the shift.

Providing her password to a new nurse in orientation so that the new nurse can enter her client's vital signs.

Answer and Explanation

The Correct Answer is A

A. Logging off the computer after entering client data is appropriate as it ensures client confidentiality and protects sensitive information.
B. Posting a client's medical diagnosis in a public area like a message board violates patient confidentiality and privacy regulations.
C. Discarding a nursing activity worksheet without proper disposal methods may lead to breaches in confidentiality, especially if it contains patient information.
D. Sharing a password compromises the security of the system and client information, which is against ethical guidelines and facility policies.

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Correct Answer is D

Explanation

A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.
B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.
C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.
D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.

A. "The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures." B. "The durable power of attorney for health care can cancel the client's living will." C. "The living will can be changed by you at any time." D. "The living will states the client's wishes regarding lifesaving measures."

Correct Answer is D

Explanation

A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.
B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.
C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.
D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.

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A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

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Naxlex Comprehensive Predictor Exams

Resistance is most likely when change:

Correct Answer is D

Explanation

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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