A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Reinforcing dietary teaching with a client who has heart disease

Providing postmortem care for a client who has just died

Accompanying a client who just had a wound debridement to physical therapy

Obtaining a urine specimen from an older adult client

Answer and Explanation

The Correct Answer is A

A.   Reinforcing dietary teaching with a client who has heart disease: This task is within the scope of the LPN
B.   Providing postmortem care for a client who has just died: Postmortem care involves emotional and physical aspects that are typically performed by registered nurses.
C.   Accompanying a client who just had a wound debridement to physical therapy: This task may require assessment and coordination of care, which are typically performed by registered nurses.
D.   This task can be done by a UAP

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Correct Answer is C

Explanation

A: This action does not address the issue of the nurses' unwillingness to care for the patient and fails to resolve the conflict or the underlying concerns about infection control and staff safety.

B: Termination is a drastic measure that may not be justified without a thorough investigation and should be considered only after other conflict resolution strategies have failed.

C: Moving the discussion to a private area is appropriate to maintain professionalism and confidentiality, allows for a calm environment to discuss the matter thoroughly, and prevents further disruption of the workplace.

D: Involving the house supervisor is a step that could be taken if the charge nurse is unable to resolve the conflict, but it is not the first action that should be taken as the charge nurse has the authority to manage staff issues directly

A. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. B. An assistive personnel logs out of the computer prior to responding to a call light. C. A nurse is reviewing an electronic list of all clients admitted to the unit. D. A nurse is faxing data about a client to a referred provider. E. An assistive personnel is informing a friend of the client about their condition.

Correct Answer is ["A","E"]

Explanation

A. This is a breach of confidentiality because discussing a client's condition in a public area where unauthorized individuals can overhear is inappropriate. Confidential information should only be shared in private settings where privacy can be ensured.
B. Logging out of the computer is not a breach of confidentiality; it is a security measure to protect client information.
C. Reviewing an electronic list of clients admitted to the unit is part of routine nursing duties and does not constitute a breach of confidentiality as long as the information is not disclosed to unauthorized individuals.
D. Faxing client data to a referred provider is a part of continuity of care and is not a breach of confidentiality if done following proper protocols to ensure the information is received by the intended recipient.
E. Informing a friend of the client about their condition without consent is a breach of confidentiality. Information about a client's condition should only be shared with individuals who are authorized to receive it, typically those involved in the client's care or those the client has
given permission to be informed.

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A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

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A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?

Correct Answer is C

Explanation

A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)

Correct Answer is ["A","E"]

Explanation

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