A nurse is asked by the family member of a client to access the client's medical record. The nurse is not assigned to this client. Which of the following actions should the nurse take?

Tell the family member to ask the client's provider for access to the client's medical record.

Request identification from the family member before providing the information.

Explain that nurses are not allowed to open the medical records of clients not in their care.

Report the situation to the facility's security personnel.

Answer and Explanation

The Correct Answer is C

A. Tell the family member to ask the client's provider for access to the client's medical record:
The provider cannot give records without client authorization; the nurse should not direct them to the provider for access without proper consent.

B. Request identification from the family member before providing the information:
Even with ID, family members cannot access medical records without the client’s written consent.

C. Explain that nurses are not allowed to open the medical records of clients not in their care:
Accessing a medical record for a client not under your care is a HIPAA violation unless you have a legitimate, assigned role in their care.

D. Report the situation to the facility's security personnel:
This would be necessary only if the family member posed a threat or attempted to access records unlawfully; the priority is to refuse access and explain privacy rules.

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Correct Answer is C

Explanation

A. Select a potential intervention to lower the current infection rate:
Interventions are chosen after identifying and analyzing baseline data.

B. Incorporate the process change into daily practice within the facility:
Implementation occurs after identifying the problem and planning interventions.

C. Identify current infection rates from facility data:
The first step in QI is collecting and reviewing baseline data to understand the current problem and measure progress.

D. Determine if the implemented change has lowered the current infection rate:
This is the evaluation step, which occurs after the intervention is implemented.

A. Place the client in a seclusion room. B. Apply wrist restraints to the client. C. Administer PRN haloperidol IM to the client. D. Engage the client in a repetitive activity as a distraction.

Correct Answer is D

Explanation

A. Place the client in a seclusion room:
Seclusion is a last resort for managing dangerous behavior and is not appropriate as a first response.

B. Apply wrist restraints to the client:
Restraints are also a last resort when the client poses an immediate danger and all other measures have failed.

C. Administer PRN haloperidol IM to the client:
Medication is not the first intervention; de-escalation should be attempted before pharmacologic methods.

D. Engage the client in a repetitive activity as a distraction:
For clients with dementia, redirecting attention to a familiar or soothing activity is an effective first-line strategy to de-escalate agitation.

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A nurse is asked by the family member of a client to access the client's medical record. The nurse is not assigned to this client. Which of the following actions should the nurse take?

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