The nurse educator is instructing newly hired nurses about client rights and the legal obligations of hospital staff. Which of the following would be an example to use when describing an assault in a clinical situation?
The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior.
The client requests to be discharged, but the nurse physically forces the client to stay.
The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person.
The nurse overhears the provider make derogatory remarks to a client about the nurse's level of competency.
The Correct Answer is A
Choice A reason: This statement describes assault because it involves a threat of harm. In this case, the nurse is threatening to apply restraints to a client, which can cause the client to fear imminent physical contact or harm. Assault does not necessarily involve physical contact, but the threat or attempt to cause harm.
Choice B reason: This statement describes battery rather than assault. Battery involves actual physical contact or harm. Physically forcing the client to stay after they request to be discharged constitutes battery, as it involves unwanted physical contact.
Choice C reason: This statement does not describe assault. Sending an email with a poor performance evaluation about another person is an issue of professional conduct and confidentiality but does not involve a threat of harm or physical contact.
Choice D reason: This statement does not describe assault. Making derogatory remarks about someone’s competency is an issue of professional behavior and respect but does not involve a threat or act of physical harm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents.
Choice B reason: Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access.
Choice C reason: Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA.
Choice D reason: Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.
Correct Answer is A
Explanation
Choice A reason: Documenting the client's fingerstick blood glucose is a task that can be safely delegated to the UAP. This task involves recording a numeric value from a glucometer reading, which does not require clinical judgment or decision-making. UAPs are trained to perform and document such routine measurements accurately.
Choice B reason: Monitoring vital signs during a blood transfusion should not be delegated to a UAP. This task requires clinical judgment to identify and respond to potential adverse reactions, such as transfusion reactions, which is within the scope of practice for licensed nurses, not UAPs.
Choice C reason: Examining output from a client's surgically placed drain involves assessing the amount, color, and type of drainage, which requires clinical judgment to determine the significance of the findings. This task should be performed by a licensed nurse who can evaluate the client's condition and respond appropriately.
Choice D reason: Obtaining central venous pressure (CVP) measurements is a complex procedure that requires specialized knowledge and skills. It involves understanding hemodynamic monitoring and interpreting the measurements, which falls within the scope of practice for licensed nurses, not UAPs.
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