A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the Inservice?
“A nurse can disclose information to a family member with the client’s permission”
“A nurse is responsible for informing clients about treatment options”
"A nurse can apply restraints on a PRN basis”
“A nurse can administer medications without consent to a client as part of a research study”
The Correct Answer is A
- Rationale for A: Client confidentiality is a fundamental part of nursing ethics and legal practice. A nurse may disclose information to a family member only if the client has given permission, ensuring respect for the client's autonomy and privacy.
- Rationale for B: While it is true that nurses play a crucial role in patient education, the primary responsibility for informing clients about treatment options lies with the attending physician or healthcare provider.
- Rationale for C: The use of restraints is highly regulated in healthcare settings. Restraints can only be applied based on specific criteria and orders that are not on a PRN (as needed) basis, to protect the safety and rights of the client.
- Rationale for D: Administering medications without consent, even as part of a research study, is unethical and illegal unless specific and stringent consent procedures are followed, which include informed consent and approval by an institutional review board (IRB).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Rotavirus infections are typically reported to local health departments, but they are not generally considered reportable diseases to state health departments.
b. Pertussis, also known as whooping cough, is a reportable disease in most jurisdictions due to its contagious nature and potential for outbreaks.
c. Respiratory syncytial virus (RSV) infections are not usually reportable to state health departments unless they are part of a larger outbreak or cluster of cases.
d. Group B streptococcus (GBS) infections, while significant in certain populations such as newborns, are not typically reportable diseases to state health departments.
Correct Answer is D
Explanation
A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.
B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.
C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.
D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.
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