A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?

"Sure, I will write it down for you."

"I know you are looking forward to being at home again and having a normal routine."

"Thank you for your kind words. Unfortunately, I am not allowed to share my home address by policy of the hospital."

"Absolutely not! We are not allowed to give out our personal information!

Answer and Explanation

The Correct Answer is C

C. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.

A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.

B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.

D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.

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Correct Answer is A

Explanation

A. When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities.

B. While it's important to encourage the coworker to seek treatment for their substance abuse issue, withholding reporting of the incident compromises patient safety and violates organizational policies and legal obligations. It's essential to report the incident regardless of the coworker's actions afterward.

C. Reporting the incident to other RNs on the shift may not be sufficient action to address the seriousness of the situation. While it's important for colleagues to be aware of potential risks to patient safety, the primary responsibility lies with reporting the incident to the appropriate authorities within the organization.

D. Agreeing not to report the incident in exchange for the coworker promising to report themselves to the supervisor is not an appropriate course of action. It's essential to follow established reporting protocols and ensure that the incident is documented and addressed through the appropriate channels to protect patient safety and uphold professional standards.

A. Request the police to gather evidence of the incident. B. Require the client to call the police. C. Provide legal testimony on behalf of the client. D. Protect the client from further harm.

Correct Answer is D

Explanation

D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.

A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.

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A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?

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Naxlex Comprehensive Predictor Exams

A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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