A nurse is assisting with teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?
Explaining the steps of a surgical procedure to a client.
Witnessing a client consent for a surgical procedure.
Confirming that a client appears competent to consent to a surgical procedure.
Verifying that a client voluntarily gave consent to a surgical procedure.
The Correct Answer is C
Choice A reason: This is incorrect. Explaining the steps of a surgical procedure to a client is not unprofessional, but a professional duty of a nurse. A nurse should provide accurate and relevant information to the client about their health condition, treatment options, and expected outcomes, in order to help them make informed decisions and prepare for the procedure¹.
Choice B reason: This is incorrect. Witnessing a client consent for a surgical procedure is not unprofessional, but a professional responsibility of a nurse. A nurse should act as a witness to the client's signature on the consent form, and ensure that the consent process was conducted properly, ethically, and legally².
Choice C reason: This is the correct answer. Confirming that a client appears competent to consent to a surgical procedure is unprofessional, as it is not within the scope of practice of a nurse. A nurse cannot assess or determine the client's mental capacity or competence to consent, as this requires a medical evaluation by a physician or a psychologist³. A nurse can only observe and report the client's behavior, mood, and cognition to the health care team.
Choice D reason: This is incorrect. Verifying that a client voluntarily gave consent to a surgical procedure is not unprofessional, but a professional obligation of a nurse. A nurse should ensure that the client's consent was given freely, without any coercion, manipulation, or undue influence from others². A nurse should also respect the client's right to withdraw or change their consent at any time².
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Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because a nurse cannot access the records of any client in the healthcare facility, unless they have a legitimate need to do so. Accessing the records of clients who are not under their care is a violation of the client's privacy and confidentiality, and may result in legal or disciplinary actions.
Choice B reason: This statement is correct because a nurse can only access the records of clients they are actively caring for, as part of their professional duty and responsibility. Accessing the records of clients they are caring for is necessary to provide safe and effective care, and to communicate with other members of the healthcare team.
Choice C reason: This statement is incorrect because a nurse cannot share information from the client’s medical record with immediate family members, unless the client has given consent, or the disclosure is authorized by law. Sharing information from the client's medical record with family members without the client's permission is a breach of the client's privacy and confidentiality, and may cause harm or distress to the client or the family.
Choice D reason: This statement is incorrect because a nurse cannot share information about a client with clients who have a similar diagnosis, unless the client has given consent or the disclosure is authorized by law. Sharing information about a client with other clients without the client's permission is a breach of the client's privacy and confidentiality, and may compromise the client's dignity or safety.
Correct Answer is D
Explanation
Choice A reason: Outside client's room is not an appropriate area to provide report to the oncoming nurse. This area may not be private or quiet enough to ensure confidentiality and accuracy of the information. The nurse may also miss important cues or changes in the client's condition or environment.
Choice B reason: Conference area is not an appropriate area to provide report to the oncoming nurse. This area may be too far from the client's room or the nursing station, which can delay the response time or the continuity of care. The nurse may also lose the opportunity to interact with the client and the family, and to verify the data with the physical assessment.
Choice C reason: Nurse's lounge is not an appropriate area to provide report to the oncoming nurse. This area may be too informal or distracting to maintain the professionalism and focus of the report. The nurse may also violate the privacy and dignity of the client and the family by discussing their personal or medical information in a public place.
Choice D reason: Client's bedside is an appropriate area to provide report to the oncoming nurse. This area allows the nurse to involve the client and the family in the report, which can enhance their satisfaction, safety, and education. The nurse can also observe the client's condition and behavior, and perform the physical assessment and the medication reconciliation with the oncoming nurse.
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