A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

Set up appointments for in-home physical therapy.

Request a referral for a home safety assessment.

Provide printed materials for new prescriptions.

Suggest participating in a community support group.

Answer and Explanation

The Correct Answer is B

A. Setting up in-home physical therapy can support long-term function but is not the most immediate concern.
B. Since the client has a new diagnosis of COPD and lives alone, ensuring their home environment is safe is the priority to reduce fall risk, ensure access to oxygen if needed, and prevent complications.
C. Providing printed materials is important for education but not the highest priority for safety.
D. Suggesting a support group helps with emotional needs but is a lower priority than ensuring the client’s immediate physical safety at home.

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Correct Answer is ["A","C","E"]

Explanation

A. This aligns with the ethical principle of nonmaleficenceand beneficence, ensuring all clients receive appropriate care and pain management without bias.
B.Accepting gifts or meals from clients or their families can pose a conflict of interestand compromise professional boundaries. This action violates ethical standards.
C. Delegating tasks based on appropriate scope of practice reflects safe and ethical nursing delegation. LPNs are permitted to remove IVs in most settings.
D.Packed red blood cells (PRBCs) must be verified by two licensed professionals(typically RNs). Having an assistive personnel double-check violates safety protocols and ethical standards.
E. Ongoing learning is part of professional accountabilityand ethical nursing practice to maintain competence.

A. A nurse is faxing data about a client to a referred provider. B. An assistive personnel logs out of the computer prior to responding to a call light. C. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. D. A nurse is reviewing an electronic list of all clients admitted to the unit. E. An assistive personnel is informing a friend of the client about their condition.

Correct Answer is ["C","D","E"]

Explanation

A.Faxing client information to a referred provider is not a breach of confidentiality as long as appropriate safeguards (e.g., cover sheet, correct fax number) are used.
B.Logging out of the computer before leaving maintains confidentiality and is appropriate practice.
C. This can expose protected health information to unauthorized individuals and is a breach of confidentiality.
D.If the nurse is not involved in the care of all those clients, accessing that information violates the "minimum necessary" standard under HIPAA.
E. Sharing client information with anyone not authorized by the client is a clear breach of confidentiality.

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A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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