1 :

1400:

A nurse performs an admission assessment for a client who was admitted from the emergency department following an injury from a motor vehicle crash.

1430:

The nurse is caring for another client who states, "Did you hear about the big wreck on the highway today?" The nurse replies, "Yes, the client we just admitted in the room next door was injured in that crash."

0900:

A nurse is documenting client care using a computer at the nurses' station. 

They walk away to answer a client's call light.

0920:

When the nurse returns to the computer, another client's provider is using it. 

The provider states, "My password isn't working, so I just used this computer because your login was still active."

1100:

The interdisciplinary team discusses end-of-life decisions with a client. 

The client asks the provider to document their do not resuscitate (DNR) status.

1800:

A nurse observes that the client does not have pulses or respirations. 

The nurse begins CPR at the family's request.

1520:

A client tells a nurse that they have questions about their newly prescribed medication. 

They speak a different language than the nurse, and they ask for an interpreter to help them ask their questions.

1530:

The client's roommate reports that they are fluent in the client's first language and offers to interpret. 

The nurse explains the medication to the roommate so they can translate to the client.

0700:

A nurse witnesses a client signing their consent form for surgery.

0800:

The client tells the nurse they still have questions about their surgery. 

The nurse tells the client that the surgery is a routine surgery and administers the pre-operative medication that was prescribed.

For which of the following nurses' actions should the charge nurse recognize the need to intervene for breach of confidentiality? (Select all that apply.)

Answer Options

Hint : πŸ—―οΈReview HIPAA and informed consent protections when assessing actions for breaches.

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2 :

Hint : πŸ“„When a client wants to resume normal daily tasks, that’s where occupational therapy becomes relevant.

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3 :

Hint : 🧍Ensure all involved providers, especially bedside nurses, are present for accurate consult follow-through.

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4 :

Hint : πŸ“‰Outcome measurements reflect actual patient effects like infection, mortality, or recovery rates.

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5 :

Hint : πŸ—£οΈCorrecting a confidentiality breach begins with direct, respectful communication to staff involved.

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6 :

Hint : 😷Droplet precautions depend on mask usage during close client contact.

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7 :

Hint : πŸ’ŠReporting recent pain med timing prevents gaps in pain control continuity.

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8 :

Hint : 🧱Pressurized oxygen must be stored in upright positions for fire and explosion prevention.

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9 :

Hint : πŸ“¦Always activate interdisciplinary support like social work to resolve home care equipment delays.

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10 :

Hint : 🧍Routine care tasks like cleaning or pouching established sites can be safely delegated to support personnel.

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Total Questions: 10

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