A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time?

A. Negligence involves failing to provide care that a reasonably prudent person would, resulting in harm. Leaving a computer terminal unattended, while not ideal, doesn't necessarily rise to the level of negligence unless it leads to a specific harm.

B. This is the most accurate choice. Leaving a computer terminal unattended with login credentials accessible to others is a breach of confidentiality and security protocols, which are fundamental aspects of professional nursing practice.
C. Malpractice is professional negligence. While leaving a computer unattended could potentially lead to a breach of patient privacy, it doesn't inherently constitute malpractice unless it results in harm to a patient.
D. Defamation involves making false statements that harm someone's reputation. Leaving a computer unattended is not related to defamation.

A. This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B. This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C. This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D. This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.