A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make? Select all that apply.

"The State Board of Nursing can reprimand you for a breach of client confidentiality."

"The civil penalties for breach of confidentiality can include imprisonment."

"A breach in confidentiality is considered an act of professional negligence.”

"Your institution can receive monetary fines for a breach in confidentiality."

"Your employer can terminate your employment if there is a breach in confidentiality."

Answer and Explanation

Correct Answer : A,D,E

A. "The State Board of Nursing can reprimand you for a breach of client confidentiality." The State Board of Nursing has the authority to discipline nurses for violations of professional conduct, including breaches of confidentiality. Consequences can include reprimands, fines, license suspension, or revocation.

B. "The civil penalties for breach of confidentiality can include imprisonment." Civil penalties typically involve monetary damages rather than imprisonment. Criminal penalties, such as jail time, may apply only in severe cases, such as intentional misuse of protected health information (PHI) for personal gain.

C. "A breach in confidentiality is considered an act of professional negligence." While breaching confidentiality is a serious ethical and legal violation, it is not classified as professional negligence, which refers to failure to provide standard care resulting in harm. A breach of confidentiality is more accurately categorized as a violation of privacy laws, such as HIPAA.

D. "Your institution can receive monetary fines for a breach in confidentiality." Healthcare institutions are subject to fines and penalties under laws such as HIPAA if they fail to protect client confidentiality. These fines can be significant, depending on the severity and intent of the breach.

E. "Your employer can terminate your employment if there is a breach in confidentiality." Employers enforce strict confidentiality policies, and violations can result in disciplinary actions, including termination. Organizations must uphold patient privacy to maintain compliance with federal and state regulations.

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

Explanation

A. T 38.6° C (101.5°F), oral. The client’s temperature has increased, which may indicate that the infection is progressing despite treatment. Persistent fever can contribute to dehydration, increased metabolic demand, and worsening systemic inflammation, all of which require further assessment and potential intervention.

B. Apical HR 108/min. The client’s heart rate has risen from 99/min to 108/min, which may be a compensatory response to fever, infection, or early signs of sepsis. Tachycardia combined with hypotension warrants close monitoring for worsening hemodynamic instability.

C. BP 112/54 mm Hg, supine. The blood pressure has decreased from 114/56 mm Hg to 112/54 mm Hg. While this is still within an acceptable range for some clients, the low diastolic pressure may indicate vasodilation due to sepsis or dehydration. If this trend continues or the client becomes symptomatic (e.g., dizziness, altered mental status), further intervention may be needed.

D. R 22/min. The respiratory rate has decreased from 32/min to 22/min, indicating improved respiratory status with oxygen therapy. This does not require follow-up as it falls within the normal range (12-20/min) and suggests a positive response to treatment.

E. Pulse oximetry 95% on 40% O₂ via face mask. The oxygen saturation has improved significantly from 85% on room air to 95% on supplemental oxygen. This suggests that oxygen therapy is effective, and no immediate follow-up is needed for this parameter.

F. Mucous membranes pink. The improvement from pale to pink mucous membranes indicates better oxygenation and perfusion, likely due to supplemental oxygen and improved respiratory function. This is a positive finding that does not require further intervention.

A. Respiratory therapist B. Social worker C. Dietician D. Occupational therapist

Correct Answer is B

Explanation

A. Respiratory therapist. A respiratory therapist provides care related to breathing disorders, such as managing oxygen therapy or ventilators. They are not typically involved in coordinating home health services for wound care.

B. Social worker. A social worker assists with coordinating home health services, arranging follow-up care, and addressing financial or logistical barriers to receiving treatment at home. They ensure the client has access to necessary resources, including wound care services.

C. Dietitian. A dietitian helps with nutritional planning to support wound healing, such as recommending a high-protein diet. While nutrition is important in recovery, a dietitian does not arrange home health care services.

D. Occupational therapist. An occupational therapist helps clients regain the ability to perform daily activities after illness or injury. While they may assist in recovery, they do not arrange wound care services for home health needs.

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A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Identify the findings at 1100, that require follow-up. Select all that apply.

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

Explanation

A nurse is performing discharge teaching with a client who has a wound that requires home health care. Which of the following team members should the nurse contact for consultation?

Correct Answer is B

Explanation

A charge nurse is providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?

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A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?

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