A nurse manager has asked other nurses to contribute to the performance appraisal of a newly licensed nurse.

Exhibits

For each assessment finding, click to specify if the finding is consistent with the need for further nurse development related to Time Management, Delegation, or Professional Behavior. Each finding may support more than 1 assessment finding.

Rationale:

A. Reporting the observation to the nurse caring for that client is important but not the immediate priority.

B. Informing the nursing supervisor is necessary but should be done after assessing the situation directly.

C. Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.

D. Notifying hospital security may be necessary if the man’s actions are unauthorized, but the first step is to gather more information.

Rationale:

A. "The client must provide permission to share the records with you." is the correct procedure as medical records are confidential and require patient consent for release to family members.

B. I will ask the nursing supervisor to obtain the medical records for you is not correct unless the client has given permission.

C. The health care provider will share this information with you does not address the need for patient consent.

D. The ethics committee will need to approve this request for you is not applicable; consent from the client is required.