While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Reinforce the potential consequences of not having this information on record to the nursing staff.
Ask nurses who are caring for clients without this information in the medical record to obtain it.
Meet with nursing staff to review the policy regarding advance directives.
Remind nurses to obtain this information during the admission process.
The Correct Answer is B
A. Reinforce the potential consequences of not having this information on record to the nursing staff: While reinforcing the importance of advance directives is necessary, the immediate priority is to ensure that missing information is obtained.
B. Ask nurses who are caring for clients without this information in the medical record to obtain it: This is the correct answer. The priority action is to address the missing documentation by
instructing nurses to obtain advance directive information from clients who lack it in their medical records.
C. Meet with nursing staff to review the policy regarding advance directives: While policy review may be necessary, it is not the immediate action needed to address the missing documentation.
D. Remind nurses to obtain this information during the admission process: While obtaining advance directive information during the admission process is important, the priority is to address the missing documentation for current clients.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "HIPAA allows clients to request a review of their own medical records." - This statement reflects an understanding of HIPAA regulations. Patients have the right to access their medical records under HIPAA.
B. "Clients who participate in research studies forfeit their HIPAA right to privacy." - This statement is incorrect. While there are provisions for research under HIPAA, participation in research studies does not automatically forfeit a patient's right to privacy.
C. "HIPAA prohibits the uploading of photographs of client's providers to social media sites." - While this may be a prudent practice, it is not a direct provision of HIPAA regulations.
D. "HIPAA allows facility-specific coding of client health care information to ensure privacy." - While coding of health information is a component of HIPAA, the statement about facility- specific coding is not entirely accurate.
Correct Answer is A
Explanation
A. Documenting the client's refusal in their chart is crucial for maintaining accurate records and ensuring that the refusal is properly documented for legal and medical purposes.
B. While checking the client's blood alcohol level may be relevant to the situation, it should not be done without the client's consent or a valid medical reason.
C. Assessing the client for urinary retention is not indicated in this scenario, as the client's refusal to provide a urine sample does not necessarily indicate urinary retention.
D. Informing the client that a catheter will be inserted without their consent is not appropriate and violates the client's autonomy.
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