A nurse enters the hallway and discovers a visitor looking at a client’s medical information on a computer. Which of the following actions should the nurse take first?
Close the documentation program on the computer
Find out which staff member left the documentation program on the screen
Tell the charge nurse that visitor viewed a client’s protected health information
Inform the visitor that client records are confidential
The Correct Answer is A
- Rationale for A: Closing the documentation program immediately ensures that no further unauthorized viewing of the client's medical information occurs. It is the most direct action to protect the client's confidentiality and should be the nurse's first priority in this situation.
- Rationale for B: While it is important to identify the staff member responsible for leaving sensitive information accessible, it is not the first action that should be taken. The immediate risk to patient confidentiality must be addressed before investigating the cause.
- Rationale for C: Notifying the charge nurse is an appropriate step, but it is not the first action to take. The priority is to stop the unauthorized access before reporting the incident.
- Rationale for D: Informing the visitor about the confidentiality of client records is important, but it should follow the immediate action of securing the information. Once the information is secure, the nurse can then address the visitor's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Assault involves threatening or causing fear of harm to another person, which did not occur in this scenario.
b. Libel refers to making defamatory statements in written form, which is not relevant to the situation described.
c. Battery involves the unauthorized and intentional physical contact with another person, which includes administering medication against their will. Even if the nurse distracts the client to administer the injection, it is still considered battery because it violates the client's autonomy and right to refuse treatment.
d. False imprisonment involves unlawfully confining or restraining a person against their will, which also does not apply in this case.
Correct Answer is A
Explanation
a. This option emphasizes the importance of the client's understanding of the risks associated with refusing the procedure. Informed decision-making capacity is crucial in determining whether the client's refusal is valid.
b. While the partner's status as the durable power of attorney for health care may play a role in decision- making, it does not supersede the client's right to make autonomous decisions about their own healthcare.
c. Religious beliefs may inform a client's decision-making process, but the primary consideration is whether the client has the capacity to understand the risks and benefits of the proposed treatment.
d. The involvement of an ethics committee may provide guidance, but the ultimate decision should prioritize the client's autonomy and capacity to make informed decisions.
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