A nurse is reinforcing teaching with a newly licensed assistive personnel (AP) who has violated a client's confidentiality. Which of the following actions should the nurse take? (Select all that apply.)
Decline documenting the first counseling session.
Communicate expected behavior to the AP.
Explain to the AP the consequences of the behavior.
Allow the AP time to respond to the counseling information.
Conduct the counseling session with another AP present.
Correct Answer : B,C,D
A. Decline documenting the first counseling session: Documentation is necessary to maintain accurate records of counseling sessions.
B. Communicate expected behavior to the AP: Reinforcing the expectations helps clarify appropriate behavior.
C. Explain to the AP the consequences of the behavior: Understanding potential consequences encourages adherence to confidentiality standards.
D. Allow the AP time to respond to the counseling information: Allowing the AP to respond fosters a two-way communication approach and encourages accountability.
E. Conduct the counseling session with another AP present: Counseling sessions should remain private to maintain confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Asking a staff member from another unit to complete the evaluation: Staff from other units may not have direct knowledge of the nurse's work performance.
B. Linking the evaluation to predetermined standards: Using predetermined standards ensures objectivity and consistency in evaluations.
C. Focusing primarily on areas that need improvement: Evaluations should be balanced, recognizing both strengths and areas for improvement.
D. Discussing the evaluation with the nurse manager: The evaluation should first be completed independently before discussing it with a manager if needed.
Correct Answer is D
Explanation
A. Documenting false information in a client’s medical record: This constitutes fraud or falsification rather than negligence.
B. Restraining a client without a provider’s prescription: This action is considered false imprisonment, a type of intentional tort, not negligence.
C. Threatening to administer a medication a client has refused: This is classified as assault, an intentional tort.
D. Failing to notify the provider after a medication error: Negligence involves failing to act in a way that a reasonably prudent nurse would under similar circumstances. Failing to notify the provider about a medication error compromises client safety and demonstrates a breach of duty.
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