A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
Complete an incident report.
Quietly tell the APS that this is not appropriate.
Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit.
Document the occurrence in a personal log.
The Correct Answer is B
A: An incident report may follow, but immediate action is needed first.
B: This is an immediate breach of confidentiality. Addressing the issue in the moment helps stop further violation and educate staff without delay.
C: An inservice is helpful but is a long-term solution, not a priority response.
D: A personal log does not correct the issue or stop the current breach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Hourly rounding allows nurses to address patient needs, prevent falls, and monitor for changes in condition. It’s an active, preventive strategy for patient safety.
B: Slip-resistant socks can be helpful but are not as effective alone in reducing fall risk. Rounding and individualized care are more comprehensive strategies.
C: Encouraging independent walking might be appropriate for some patients, but for others, especially those at risk for falls, it can increase the risk of injury.
D: While bed alarms may help prevent falls, using them indiscriminately for all patients can lead to alarm fatigue, which may reduce their effectiveness.
Correct Answer is A
Explanation
A: Hands-on demonstration is the best way to assess skill competency in equipment use.
B: Signing a form doesn’t prove the nurse can operate the equipment safely.
C: A written test only assesses knowledge, not practical skill.
D: Verbal questioning is insufficient to ensure safe use in practice.
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