A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

I should discard personal health information documents in the trash before leaving the unit.

I can post the client's vital signs in the client's room.

I can use another nurse's password as long as I log off after using the computer.

I should encrypt personal health information when sending emails.

Answer and Explanation

The Correct Answer is D

Choice A reason: I should discard personal health information documents in the trash before leaving the unit is not a correct statement, as it violates the client's privacy and the Health Insurance Portability and Accountability Act (HIPAA). I should shred or dispose of personal health information documents in a secure container or according to the facility's policy.

Choice B reason: I can post the client's vital signs in the client's room is not a correct statement, as it exposes the client's health information to unauthorized persons. I should keep the client's vital signs confidential and only share them with the client and the health care team.

Choice C reason: I can use another nurse's password as long as I log off after using the computer is not a correct statement, as it compromises the security and integrity of the electronic health record. I should use my own password and never share it with anyone else.

Choice D reason: I should encrypt personal health information when sending emails is a correct statement, as it protects the client's privacy and the HIPAA. I should use encryption or other secure methods when transmitting personal health information electronically.

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Correct Answer is C

Explanation

Choice A reason: Obtaining a prescription for a sedative for the client is not a correct action, as it may cause adverse effects such as confusion, falls, or respiratory depression. The nurse should avoid using sedatives unless absolutely necessary and use non-pharmacological interventions to calm the client.

Choice B reason: Removing the clock and calendar from the client's room is not a correct action, as it may worsen the client's disorientation and anxiety. The nurse should provide orientation cues such as a clock, a calendar, a radio, or a newspaper to help the client maintain a sense of time and reality.

Choice C reason: Providing distractions for the client during the day is a correct action, as it may reduce the client's boredom, agitation, and wandering behavior. The nurse should engage the client in meaningful activities such as music, games, crafts, or exercise that suit the client's interests and abilities.

Choice D reason: Raising all four side rails on the client's bed is not a correct action, as it may increase the risk of injury or entrapment if the client tries to climb over them. The nurse should use the least restrictive measures to prevent wandering, such as alarms, locks, or supervision.

A. Withholding fluids until the end of the meal B. Elevating the head of the client's bed to 30 degrees during mealtime C. Providing a 10-minute rest period prior to meals D. Instructing the client to place her chin toward her chest when swallowing

Correct Answer is D

Explanation

Choice A reason: This is not a correct technique for feeding a client who has dysphagia. Withholding fluids until the end of the meal can increase the risk of dehydration and aspiration. Fluids should be offered throughout the meal to help moisten and thin the food.

Choice B reason: This is not a correct technique for feeding a client who has dysphagia. Elevating the head of the client's bed to 30 degrees during mealtime is not enough to prevent aspiration. The client should be in an upright position, preferably at 90 degrees, to facilitate swallowing and gravity.

Choice C reason: This is not a correct technique for feeding a client who has dysphagia. Providing a 10-minute rest period prior to meals is not necessary and may delay the feeding. The client should be fed when they are alert and hungry, and not too tired or sleepy.

Choice D reason: This is a correct technique for feeding a client who has dysphagia. Instructing the client to place her chin toward her chest when swallowing can help close the airway and prevent food from entering the lungs. This can reduce the risk of aspiration and choking.

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A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is disoriented and has a history of wandering. Which of the following actions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?

Correct Answer is D

Explanation

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