A nurse is providing education to a group of new nurses about maintaining confidentiality in nursing documentation. Which statement by a new nurse indicates a need for further teaching?

"It's important to store client charts and documents in a secure location when not in use."

"I can share a client's medical information with my friends as long as I don't disclose the client's name."

"We should use client identifiers such as full name and date of birth on every page of the client's chart."

"When discussing client information, we should use private and secure areas to prevent unauthorized access."

Answer and Explanation

The Correct Answer is B

A. "It's important to store client charts and documents in a secure location when not in use.": Storing charts securely prevents unauthorized access and protects client privacy. This demonstrates proper understanding of confidentiality practices in nursing documentation.

B. "I can share a client's medical information with my friends as long as I don't disclose the client's name.": Sharing any client information with unauthorized individuals violates HIPAA and confidentiality standards. Even without a name, details about a client’s condition are considered protected health information and must not be shared.

C. "We should use client identifiers such as full name and date of birth on every page of the client's chart.": Including client identifiers on each page ensures accuracy, proper record-keeping, and reduces errors. This practice supports both patient safety and legal documentation requirements.

D. "When discussing client information, we should use private and secure areas to prevent unauthorized access.": Conducting discussions in secure, private areas prevents accidental disclosure of confidential information. This demonstrates adherence to best practices for maintaining client privacy and confidentiality.

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Correct Answer is B

Explanation

A. It reduces the client's anxiety during the assessment: While gentle touch may help the client feel more comfortable, the primary purpose of light palpation is not to reduce anxiety but to gather assessment data. Anxiety reduction is a secondary benefit rather than the main objective.

B. It helps identify areas of tenderness and abnormalities: Light palpation allows the nurse to feel surface characteristics, detect tenderness, and identify abnormalities such as masses or swelling. It is the initial step in palpation before progressing to deeper techniques, providing important information about the abdominal area.

C. It is the only technique used for abdominal assessment: Light palpation is just one technique. Deep palpation and other assessment methods like inspection, percussion, and auscultation are also necessary for a complete abdominal assessment.

D. It allows for the assessment of the abdominal organs: Assessment of deeper abdominal organs requires deep palpation, not light palpation. Light palpation primarily evaluates superficial structures and detects areas that may need further examination.

A. Nonmaleficence B. Veracity C. Autonomy D. Fidelity

Correct Answer is A

Explanation

A. Nonmaleficence: By completing training before administering chemotherapy, the nurse ensures they do not cause harm to clients. Nonmaleficence emphasizes the ethical responsibility to prevent injury or harm through safe and competent care.

B. Veracity: Veracity involves truthfulness and honesty in interactions with clients, such as providing accurate information about treatments. While important, completing training primarily addresses safety, not truth-telling.

C. Autonomy: Autonomy refers to respecting a client’s right to make informed decisions about their care. Completing training does not directly relate to client decision-making.

D. Fidelity: Fidelity involves keeping commitments and being faithful to professional responsibilities. While training supports professional competence, the key ethical principle demonstrated here is preventing harm, aligning with nonmaleficence.

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A nurse is providing education to a group of new nurses about maintaining confidentiality in nursing documentation. Which statement by a new nurse indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform palpation during an abdominal assessment of a client. Which describes the purpose of using light palpation?

Correct Answer is B

Explanation

The nurse completes training in administering chemotherapy before transferring to an oncology unit to ensure they can care for those clients safely. Which ethical principle has the nurse demonstrated?

Correct Answer is A

Explanation

Which information obtained during a history and physical examination should the nurse document as subjective data?

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Which is included in the general survey?

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Which step of the nursing process is the nurse performing when educating a client about how to do a blood glucose check?

A nurse is educating staff nurses about the goals of timely and accurate documentation of health assessments. Which statement by a staff nurse indicates additional education is needed?

A nurse is performing the behavioral assessment of the general survey. Which assessment should the nurse include related to behavior?

The nurse prepares to leave the room after completing a client assessment. What action(s) should a nurse plan to take to promote safety before leaving a client's room? Select all that apply.