An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

"Ask the charge nurse if she will enter the vital signs for you."

"I'll give you my password to use on another computer, but only for those vital signs."

"I can't let you use the computer on my login, but give me the vital signs and I'll enter them."

"Contact the information technology team and ask them to reset your password."

Answer and Explanation

The Correct Answer is C

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

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Correct Answer is C

Explanation

A. Delegating client care tasks to an assistive personnel Delegation is part of nursing management, not specifically advocacy.
B. Completing an incident report for a medication error This is part of ensuring safety and quality but is not directly related to advocacy.
C. Adhering to the client's refusal of treatment Advocacy involves respecting the client's rights and choices, including the right to refuse treatment.
D. Completing required continuing education courses This is related to professional development, not specifically client advocacy.

A. Compile a list of the client's current medications to compare with new medications. B. Label syringes, but not medicine cups or basins, during a procedure. C. Use one client identifier for treatments, care, and services. D. Perform a daily assessment of wounds using the Braden scale.

Correct Answer is A

Explanation

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

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An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

Nursing Test Bank

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