The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

"Your provider will be here later today."

"I can give you information on what that would involve."

"I understand how you feel. I felt the same way when my sibling was terminally ill."

"I think you should speak with social services about your request."

Answer and Explanation

The Correct Answer is B

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.

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Correct Answer is B

Explanation

A. Notify the provider: While it is essential to inform the provider about the medication error, the immediate priority is to assess the client's condition first to determine if any adverse effects have occurred. The provider can be notified after ensuring the client is stable.

B. Check the condition of the client: The first action the nurse should take is to assess the client's condition. This includes monitoring for any immediate adverse effects or reactions related to the wrong medication administered. Ensuring the client's safety is the top priority in this situation.

C. Report the occurrence to the unit manager: Reporting the error to the unit manager is an important step in the process but should be done after assessing the client's condition. The immediate focus must be on the client's well-being before addressing administrative aspects of the error.

D. Complete an incident report: Completing an incident report is necessary for documenting the error and ensuring quality improvement measures, but it is not the first action. The nurse must first prioritize the assessment and safety of the client.

A. Log out of the computer terminal before leaving. B. Share passwords for computer access with colleagues. C. Change computer access passwords on a regular basis. D. Avoid accessing information about clients admitted to other units. E. Shred computer-generated client worksheets after use.

Correct Answer is ["A","C","D","E"]

Explanation

A. Log out of the computer terminal before leaving: Logging out of the computer terminal is a crucial step in maintaining client confidentiality. It prevents unauthorized individuals from accessing sensitive client information when the nurse is away from the terminal.

B. Share passwords for computer access with colleagues: Sharing passwords compromises the security of client information and violates confidentiality protocols. Each nurse should use their unique login credentials to ensure accountability and protect client data.

C. Change computer access passwords on a regular basis: Regularly changing passwords enhances security and helps protect client confidentiality. This practice reduces the risk of unauthorized access to electronic medical records.

D. Avoid accessing information about clients admitted to other units: Avoiding access to information about clients in other units is an essential practice for maintaining confidentiality. Nurses should only access information relevant to their assigned clients to ensure compliance with privacy regulations.

E. Shred computer-generated client worksheets after use: Shredding printed materials containing client information is vital for protecting confidentiality. Proper disposal of sensitive documents prevents unauthorized access to client data and ensures compliance with privacy policies.

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The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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