A nurse looks up information in a client’s medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional practice?

Evidence-based practice

Quality of practice

Code of ethics

Collaboration

Answer and Explanation

The Correct Answer is C

Choice A reason: Evidence-based practice refers to the integration of clinical expertise with the best available research and patient preferences. It does not address confidentiality or unauthorized access to medical records.

Choice B reason: Quality of practice involves delivering safe, effective, and patient-centered care. While unauthorized access may indirectly affect quality, it is not the primary standard being violated in this scenario.

Choice C reason: The Code of Ethics for Nurses emphasizes respect for patient privacy and confidentiality. Accessing a medical record without a legitimate clinical need breaches ethical standards and violates patient trust and legal protections under HIPAA.

Choice D reason: Collaboration refers to working with other healthcare professionals to provide coordinated care. Unauthorized access to records does not involve teamwork or interprofessional collaboration, making this choice incorrect.

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Correct Answer is B

Explanation

Choice A reason: An educator disseminates knowledge and teaches others, often based on established evidence. While the nurse may later educate others, the act of gathering evidence itself is not primarily educational.

Choice B reason: The nurse is actively seeking and analyzing evidence-based data related to CAUTIs, which aligns with the role of a researcher. This involves reviewing current literature, guidelines, and clinical studies to inform practice and improve patient outcomes.

Choice C reason: A case manager coordinates care and resources for individual patients, focusing on efficiency and outcomes. This role does not typically involve conducting or gathering research.

Choice D reason: A nurse manager oversees staff, operations, and administrative tasks. While they may support research initiatives, they are not directly involved in evidence gathering unless explicitly assigned that role.

A. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters. B. Review the facility's policies and procedures manual about removing IV catheters. C. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. D. Research how to remove an IV catheter from the internet.

Correct Answer is B

Explanation

Choice A reason: While nursing journals provide evidence-based information, they are not the primary source for procedural guidance in clinical settings. Facility-specific protocols must be followed to ensure compliance with institutional standards and legal safety requirements.

Choice B reason: Reviewing the facility’s policies and procedures manual is the correct action. These manuals contain institution-approved steps for performing clinical tasks, including IV catheter removal, and ensure consistency, safety, and adherence to legal and professional standards.

Choice C reason: Assistive personnel are not licensed to perform or instruct on IV catheter removal. Asking them to verbalize the steps is inappropriate and does not ensure accurate or safe practice.

Choice D reason: Internet sources may vary in credibility and may not reflect the facility’s approved procedures. Relying on general online information can lead to unsafe or non-compliant practices.

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A nurse looks up information in a client’s medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional practice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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