A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Reassign the AP to other clients on the unit
Instruct the AP to discontinue the conversation
Complete an incident report about the breach of client confidentiality
Notify the client's provider about the incident
The Correct Answer is B
Choice A reason: Reassigning the AP to other clients on the unit is not an appropriate action for the nurse to take. This action does not address the issue of the breach of client confidentiality, and it may disrupt the continuity of care for the clients. The nurse should not punish the AP without giving them feedback and education.
Choice B reason: Instructing the AP to discontinue the conversation is an appropriate action for the nurse to take. This action stops the violation of client confidentiality and protects the client's privacy and dignity. The nurse should also remind the AP of the ethical and legal principles of confidentiality, and the consequences of violating them.
Choice C reason: Completing an incident report about the breach of client confidentiality is not an appropriate action for the nurse to take. This action is not necessary, as the breach was not intentional or harmful to the client. The nurse should document the incident in the AP's performance evaluation, and provide guidance and coaching to prevent future occurrences.
Choice D reason: Notifying the client's provider about the incident is not an appropriate action for the nurse to take. This action is not relevant, as the provider is not responsible for the AP's behavior or education. The nurse should notify the AP's supervisor or manager, and collaborate with them to address the issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A client who has bipolar disorder and is exhibiting signs of hallucination is not the highest priority for treatment. The client may have a psychiatric emergency, but their condition is not life-threatening or unstable. The nurse should assess the client's safety and provide emotional support, but they can wait for further intervention.
Choice B reason: A client who has major burns over 75% of their body surface area is a high priority for treatment, but not the highest. The client has a serious injury that can cause shock, infection, and organ failure. The nurse should monitor the client's vital signs, fluid status, and wound care, but they can wait for a short time.
Choice C reason: A client who has two open chest wounds with a left tracheal deviation is a high priority for treatment, but not the highest. The client has a tension pneumothorax, which is a life-threatening condition that causes air to accumulate in the pleural space and compress the lung and the heart. The nurse should seal the wounds with an occlusive dressing and prepare for chest tube insertion, but they can wait for a few minutes.
Choice D reason: A client who has a neck injury and is unable to breathe spontaneously is the highest priority for treatment. The client has a respiratory emergency, which is the most urgent condition that requires immediate intervention. The nurse should establish an airway, provide oxygen, and stabilize the neck, as well as call for help and notify the provider.
Correct Answer is C
Explanation
Choice A reason: Suggesting that the client read articles that recommend specific treatments for Crohn's disease is not an action the nurse should take. This is an inappropriate and potentially harmful action, as the nurse should not endorse any treatments that are not prescribed by the provider. The nurse should also avoid giving the client unreliable or biased sources of information.
Choice B reason: Recommending podcasts that discuss Crohn's disease to the client is not an action the nurse should take. This is an ineffective and insufficient action, as the nurse should not rely on podcasts as the primary source of education for the client. The nurse should also assess the quality and credibility of the podcasts before suggesting them to the client.
Choice C reason: Encouraging the client to research Crohn's disease on websites that have a .gov address is an action the nurse should take. This is an appropriate and helpful action, as the nurse should promote the client's self-education and empowerment. The nurse should also guide the client to use websites that have a .gov address, as they are more likely to provide accurate and evidence-based information.
Choice D reason: Asking a licensed practical nurse to explain Crohn's disease to the client is not an action the nurse should take. This is an irresponsible and unprofessional action, as the nurse should not delegate the task of client education to a licensed practical nurse. The nurse should provide the client with clear and comprehensive information about their condition and answer any questions they may have.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today