Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality?
A. Calling the pharmacy with a prescription for the client's partner to pick up
Calling the pharmacy for a prescription for the client's partner doesn't necessarily violate client confidentiality as it pertains to the partner's care.
B. Providing a copy of the client's medical record to the transporting paramedic
Providing a copy of the client's medical record to a third party, the transporting paramedic, breaches confidentiality as it exposes the client's private health information to someone notinvolved in direct care.
C. Reporting a client's disposition to the referring provider
Reporting a client's disposition to the referring provider is part of normal care coordination and doesn't typically violate confidentiality.
D. Informing housekeeping staff that the client is in the dialysis unit
Informing housekeeping staff about a client's location in a specific unit doesn't divulge confidential health information.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Leadership 2019 Proctored Exam. Take the full exam now
Full Explanation
A. Calling the pharmacy for a prescription for the client's partner doesn't necessarily violate client confidentiality as it pertains to the partner's care.
B. Providing a copy of the client's medical record to a third party, the transporting paramedic, breaches confidentiality as it exposes the client's private health information to someone not
involved in direct care.
C. Reporting a client's disposition to the referring provider is part of normal care coordination and doesn't typically violate confidentiality.
D. Informing housekeeping staff about a client's location in a specific unit doesn't divulge confidential health information.
Similar Questions
A nurse is caring for four clients. Which of the following clients should the nurse assess first?
A. A client who is 3 days postoperative following abdominal surgery is ready for discharge
A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B. A client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessness
Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7
While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL
An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.
Full Explanation
A. A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B. Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C. While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D. An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.
A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?
A. Report the infection to the local health department.
Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B. Apply an antiviral cream to lesions.
Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C. Instruct the client to use condoms until the treatment is completed.
While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D. Initiate contact precautions.
Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.
Full Explanation
A. Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B. Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C. While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D. Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.
A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?
A. Contact the nurse manager.
Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Call risk management to interview the client.
Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassure the client that the staff is well trained.
Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Document in the client's chart that an incident report has been filed.
Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.
Full Explanation
A. Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.