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 D
Explanation
A.A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B.A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.
C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.
D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.
Correct Answer is C
Explanation
A. This is a sign of fluid overload and worsening heart failure, indicating the initiative may not be successful.
B. An S3 heart sound is associated with heart failure and indicates poor ventricular function.
C. BNP levels rise in response to heart failure and fluid overload. A decrease in BNP indicates improvement in heart function and effective management, suggesting the quality improvement initiative is working.
D. Rapid weight gain is a sign of fluid retention and worsening heart failure, indicating poor outcomes.
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