A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

File a grievance report about the breach of confidentiality.

Discuss the incident with another staff nurse.

Counsel the staff members about the breach of confidentiality.

Report the staff members actions to the state board of nursing.

Answer and Explanation

The Correct Answer is C

A.   Filing a grievance report is a formal action and may be premature in this situation. It is typically reserved for more serious or repeated violations. Addressing the issue directly with the involved staff members or through a less formal channel might be more appropriate initially to understand the context and correct the behavior.
B.   Discussing the incident with another staff nurse might spread the information further and does not address the issue directly with the involved parties. It’s essential to handle breaches of confidentiality by directly addressing them with those involved or through the proper channels to maintain professional boundaries and ensure confidentiality is respected.
C.   Counseling the staff members about the breach of confidentiality is a direct and appropriate action. This approach addresses the issue with the individuals involved and provides an opportunity for education and correction. It helps ensure that the staff understand the importance of maintaining client confidentiality and prevent future breaches.
D.   Reporting the actions to the state board of nursing is a serious step and is usually reserved for significant or repeated violations of professional conduct. For a first-time or minor breach, it might be more appropriate to address the issue internally through counseling or reporting it to a supervisor before escalating it to the state board.

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Correct Answer is D

Explanation

A. While consulting with the nurse manager is appropriate in some cases, it's important to first verify the AP's scope of practice.
B. If the AP is not qualified to perform the task, the nurse may need to perform it themselves or delegate it to someone who is qualified. However, it's important to first verify the AP's scope of practice to avoid unnecessary delegation.
C. This may be a viable option if the AP is not qualified to perform the task and the nurse is unable to do it themselves. However, it's important to ensure that the licensed practical nurse has the necessary training and competence to perform the task safely and effectively.
D. The AP job description outlines the specific tasks and responsibilities that the AP is authorized to perform. By checking the job description, the nurse can determine if the AP is indeed qualified to perform oral care for an unconscious client.

A. Gonorrhea B. Trichomoniasis C. Human papillomavirus D. Candidiasis

Correct Answer is A

Explanation

A. Gonorrhea is a reportable infection in many jurisdictions. Public health departments require reporting of gonorrhea cases to monitor and control outbreaks, track resistance patterns, and implement public health interventions.
B. Trichomoniasis is generally not a reportable infection in most regions. While it is a common STI and has public health implications, it is usually not mandated to be reported to the health department. However, its management may still be important in individual patient care and education.
C. HPV is a very common virus with many different strains, including some that are associated with cervical cancer. Generally, HPV infection itself is not reportable to public health departments, although certain HPV-related cancers or cases of HPV-related conditions may be reported under specific circumstances.
D. Candidiasis, often caused by Candida species, is a fungal infection and is typically not reportable to the health department. It is usually managed in clinical settings and does not require reporting to public health authorities unless it is part of an unusual outbreak or occurs in a specific context (e.g., invasive candidiasis in immunocompromised patients).

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A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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