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.
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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Related Questions
Correct Answer is D
Explanation
A. The Patient Self-Determination Act (PSDA) ensures patients are informed of their rights, but it does not provide a basis for changing a living will when a patient is incapacitated.
B. A durable power of attorney for health care can make decisions on behalf of the client but cannot simply cancel the living will without considering the client's wishes as outlined in it.
C. Family members cannot arbitrarily change a living will, especially when the client is unconscious; the living will reflects the client’s predetermined wishes.
D. The living will is a legal document that outlines the client’s preferences regarding lifesaving measures and should be followed even if the client is unconscious.
Correct Answer is B
Explanation
A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.
B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.
C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.
D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.
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