A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?
"I will be informing the provider about this conversation."
"You should continue this conversation in a private place."
"It is an invasion of privacy to discuss that information."
"If you are going to talk about a client in public, do not use their name."
The Correct Answer is C
Choice A reason: Informing the provider about the conversation might be necessary if there are concerns about confidentiality breaches, but it does not address the immediate issue of discussing private patient information in a public place. The charge nurse's first responsibility is to stop the inappropriate discussion and remind the staff nurse about the importance of maintaining patient privacy.
Choice B reason: While continuing the conversation in a private place is better than discussing it in a public hallway, the staff nurse should not be discussing private patient information unless it is necessary for the patient's care. The charge nurse should emphasize the importance of confidentiality and ensure that such conversations occur only when necessary and in appropriate settings.
Choice C reason: This response directly addresses the issue of discussing private patient information and reinforces the importance of maintaining confidentiality. By stating that it is an invasion of privacy to discuss the information, the charge nurse makes it clear that such conversations are inappropriate and should not occur.
Choice D reason: Telling the staff nurse not to use the client's name in public discussions misses the broader point about confidentiality. Even without using a name, discussing specific details about a patient's condition or admission can still breach their privacy. The charge nurse should emphasize the importance of not discussing patient information in public settings at all.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Determining whether the client's goals are met is part of the evaluation phase of the nurse-client relationship. This phase comes after the working phase and focuses on assessing the outcomes of the interventions and the progress made toward achieving the client's goals.
Choice B reason: Collecting data about the client's current health status is typically part of the assessment phase, which occurs at the beginning of the nurse-client relationship. During this phase, the nurse gathers comprehensive information about the client's physical, psychological, and social health to inform the care plan.
Choice C reason: Providing the client with information on problem-solving is an essential component of the working phase of the nurse-client relationship. During this phase, the nurse and client work collaboratively to address issues, develop coping strategies, and implement interventions aimed at improving the client's mental health. Teaching problem-solving skills helps empower the client to manage their condition effectively.
Choice D reason: Establishing a regular meeting time with the client is part of the orientation phase of the nurse-client relationship. In this initial phase, the nurse and client get to know each other, build rapport, and establish the parameters for the relationship, including setting up regular meetings.
Correct Answer is A
Explanation
Choice A reason: Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing their frustration may be more likely to react impulsively and aggressively when faced with challenging situations. This inability to cope with frustration can lead to abusive behaviors, especially if the individual has not developed healthy coping mechanisms. The stress and demands of parenting can exacerbate these tendencies, increasing the risk of child abuse.
Choice B reason: Being involved in community activities is generally considered a protective factor rather than a risk factor. Participation in community activities can provide social support, reduce isolation, and offer positive role models. These factors can help individuals develop healthier coping strategies and reduce the likelihood of abusive behaviors. Therefore, involvement in community activities is not typically associated with an increased risk of becoming a perpetrator of child abuse.
Choice C reason: A submissive personality is not typically identified as a risk factor for becoming a perpetrator of child abuse. Submissive individuals are more likely to be passive and avoidant rather than aggressive and abusive. While personality traits can influence behavior, a submissive personality does not inherently increase the risk of perpetrating abuse. Other factors, such as a history of abuse, stress, and lack of support, are more relevant in assessing the risk of abusive behavior.
Choice D reason: The absence of impulsive behaviors is not a risk factor for becoming a perpetrator of child abuse. In fact, impulsivity is often associated with a higher risk of abusive behaviors. Individuals who lack impulsive behaviors are generally more capable of controlling their actions and responding to stress in a measured and thoughtful manner. Therefore, the absence of impulsive behaviors is not linked to an increased risk of child abuse.
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