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 the visitor viewed a client’s protected health information

Inform the visitor that client records are confidential

Answer and Explanation

The Correct Answer is A

A. Closing the documentation program on the computer is the most immediate action to prevent further unauthorized access to protected health information (PHI). It directly addresses the breach of confidentiality and limits potential damage.

B. While it is important to identify the staff member responsible for leaving the program open, this does not immediately address the current breach of confidentiality. This action would be a subsequent step after securing the PHI.

C. Notifying the charge nurse is an important step in the process of addressing the breach. However, it is not the first action to take as it does not prevent further exposure of the PHI.

D. Informing the visitor about the confidentiality of client records is necessary, but it is not the first action to take. The priority is to secure the PHI before addressing the visitor's behavior.

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Correct Answer is B

Explanation

a. Recommending the AP come back later may delay necessary documentation and disrupt workflow.
b. Logging out so the AP can log in to document the vital signs ensures accurate and timely documentation without compromising security or privacy.
c. Offering to chart the vital signs for the AP may blur roles and responsibilities, as charting should be done by the individual who performed the assessment.
d. Allowing the AP to document vital signs prior to logging out may violate policies regarding unauthorized

A. Instruct the client’s family to contact the insurance provider about the oxygen equipment B. Send an oxygen tank from the facility home with the client C. Contact social services about the delivery of the oxygen equipment D. Notify the provider about the delayed oxygen tank delivery

Correct Answer is D

Explanation

a. Instructing the client's family to contact the insurance provider may be appropriate for resolving insurance-related issues but does not directly address the delay in oxygen tank delivery.
b. Sending an oxygen tank from the facility home with the client may not be feasible or within the nurse's scope of practice without coordination with the equipment provider.
c. Contacting social services may not be necessary for resolving the delayed delivery of oxygen equipment, as this is typically managed by the equipment provider or the client's healthcare team.
d. Notifying the provider about the delayed oxygen tank delivery allows for appropriate follow-up and coordination to ensure the client receives the necessary equipment in a timely manner.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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