A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Complete an incident report about the breach of confidentiality.
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Contact facility security to remove the nurse from the unit.
The Correct Answer is C
A. Completing an incident report about the breach of confidentiality may be necessary, but it
should not be the first action. The immediate concern is addressing the behavior and reminding the nurse of proper protocol.
B. While it may be true that permission from the risk manager is required to access certain
records, this response does not address the immediate issue of the unauthorized access. It's more important to address the behavior directly.
C. This is the most appropriate action because it directly addresses the unauthorized access to the client's medical record. Reminding the nurse of the proper protocol for accessing medical records can help prevent further breaches of confidentiality.
D. Contacting facility security to remove the nurse from the unit may be excessive at this stage and should be considered if the behavior persists after reminders about proper protocol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
|
Provider prescription |
Expected |
Unexpected |
|
Home health evaluation of home safety |
X |
|
|
Vitamin D supplement 2,500 units daily |
X |
|
|
Vitamin D supplement 2,500 units daily |
X |
|
|
Increase caffeine intake |
X |
|
Physical therapy for muscle- strengthening and balance- training |
X |
|
|
Increase daily sun exposure |
X |
- Home health evaluation of home safety: Expected, as it can help prevent falls, which are a significant risk for patients with osteoporosis due to increased fracture risk.
- Vitamin D supplement 2,500 units daily: Expected, since Vitamin D is essential for calcium absorption and bone health, and supplementation is commonly recommended for osteoporosis patients.
- Calcium 1500 mg po once daily on an empty stomach: Expected, because adequate calcium intake is crucial for maintaining bone density and overall bone health.
- Increase caffeine intake: Unexpected, as excessive caffeine can interfere with calcium absorption and exacerbate bone density loss.
- Physical therapy for muscle-strengthening and balance-training: Expected, to improve muscle strength, balance, and coordination, which can help reduce the risk of falls and subsequent fractures.
- Increase daily sun exposure: Expected, but with caution. While sun exposure helps with Vitamin D synthesis, it should be balanced with skin cancer risk, especially in older adults.
Correct Answer is D
Explanation
A. Providing teaching without expecting the client to respond does not facilitate communication or ensure the client understands the information. The goal is to enhance communication, not to bypass it.
B. Speaking with a loud voice is unnecessary and can be counterproductive. Expressive aphasia affects the client’s ability to express themselves, not their hearing. Speaking loudly will not improve the client's ability to understand or communicate.
C. Avoiding facial gestures is not recommended. Non-verbal communication, such as facial expressions and gestures, can be valuable in helping the client understand the information being conveyed.
D. Determining the client’s ability to use a communication board is the most appropriate action. A communication board can help the client express their needs and understand instructions more effectively, making it a valuable tool for reinforcing teaching in clients with expressive aphasia.
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