A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?
Logs off the computer after entering a client's intake and output totals.
Tears a document with client information in half before disposing of it in a waste basket.
Denies a request by another AP to use her password to enter client's vital signs.
Removes a clipboard with client information from the room during visiting hours.
The Correct Answer is B
The nurse should intervene when the AP tears a document with client information in half before disposing of it in a waste basket. This is because client information is confidential and should be disposed of properly to protect the client's privacy. Tearing a document in half is not sufficient to ensure that the information is protected.
Option A is incorrect because logging off the computer after entering a client's intake and output totals is an appropriate action.
Option C is incorrect because denying a request by another AP to use her password to enter the client's vital signs is an appropriate action to protect the client's information.
Option D is incorrect because removing a clipboard with client information from the room during visiting hours may be necessary to protect the client's privacy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale: Withdrawing consent is a client’s legal right. No error or unexpected event occurred, so no incident report is required.
Choice B rationale: Preference for shower timing is a routine care adjustment, not an adverse or unusual event requiring documentation.
Choice C rationale: Vomiting may be a side effect, but unless it causes harm or is unexpected, it doesn’t meet incident report criteria.
Choice D rationale: A medical emergency involving a visitor is unexpected and requires documentation for liability, safety, and institutional response tracking.
Correct Answer is B
Explanation
If a charge nurse in an acute care facility receives a client request not to have particular assistive personnel (AP) care for her, the appropriate action for the charge nurse to take is to address the concern with the assigned nurse. This will allow the charge nurse and the assigned nurse to work together to address the client's concerns and ensure that the client receives appropriate care.
Option A is incorrect because documenting the issue on an incident report may be necessary, but it should not be the first action taken.
Option C is incorrect because explaining to the client that the AP was having a bad day does not address the client's concerns or wishes.
Option D is incorrect because notifying the human resources department may be necessary, but it should not be the first action taken.
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