A charge nurse is working on a medical-surgical unit.
Nurse 1
Nurse 5
Nurse 2
Nurse 4
Nurse 3
Correct Answer : A,C,D
A. Nurse 1 – The nurse disclosed identifiable information about a client's involvement in a motor vehicle crash to another client. Sharing such specific details violates HIPAA regulations, even if the other client heard about the event in the news.
B. Nurse 5 – Although this nurse acted unethically by administering pre-op medication without ensuring informed consent, the issue is informed consent and autonomy—not confidentiality.
C. Nurse 2 –Leaving a computer with an active login accessible to others is a security risk. Allowing another provider to use a computer under the nurse’s login compromises protected health information.
D. Nurse 4 – Using the client’s roommate as an interpreter exposes private medical information to someone who is not authorized. Interpreters should be neutral, trained professionals to protect confidentiality and accuracy.
E. Nurse 3 – Although the nurse did not follow the client’s DNR wishes, this is an ethical and legal issue regarding end-of-life care, not a confidentiality breach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. A nurse manager oversees the daily operations of the unit, ensuring quality care and appropriate staffing.
B. Nurse managers have the authority to make administrative and clinical decisions that impact the unit.
C. Nurse managers align unit performance with the broader goals of the organization, such as safety, patient satisfaction, and efficiency.
D. While nurse managers ensure proper delegation is occurring, delegation is a direct responsibility of staff nurses, not the manager unless they are functioning in a clinical role.
E. Nurse managers are responsible for performance management, including recognizing good work and addressing issues through corrective action when needed.
Correct Answer is D
Explanation
A.Planning budgets based only on average length of stay may overlook opportunities for cost reduction and efficiency improvements.
B.Staffing additional personnel increases costs rather than reducing them.
C.Budget planning should be collaborative; limiting it to senior management misses frontline insights.
D.Encouraging staff participation in quality improvement projects can enhance efficiency, reduce errors, and lower costs in acute care.
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