Why do most breaches of confidentiality occur?
1. Malicious behavior
2. System hacking
3. Intent
4. Carelessness
4
Rationale: Carelessness is the most common cause for breaches in confidentiality. Most health care providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. System hacking has not yet become as common as simple carelessness with data.
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Which can the nurse safely delegate to the unlicensed assistive personnel (UAP)?
1. Initial assessment of pain 2. Regular reassessment of pain 3. Providing a massage and repositioning the client in pain 4. Administration of an oral analgesic
A nurse is caring for a patient who is suspected of having an obsessivecompulsive personality disorder. Which characteristics of obsessivecompulsive personality disorder will the nurse observe in the patient?
1. Order in all areas of the patient's life and that of the patient's relatives 2. Fear, anxiety, and an excessive need for order 3. The need for perfection in others but not self 4. Order in the patient's work life but the ability to relax when away from work
A client is brought to the emergency department by his brother. The client has a history of bipolar disorder for which he is taking divalproex. The brother reports that he watched his brother take the medication about 2 hours ago
He stated, "A little while ago, he got very disoriented and agitated." The nurse suspects toxicity based on assessment of which of the following? Select all that apply. A) Tachypnea B) Bradycardia C) Hypotension D) Nystagmus E) Vomiting
The nurse is caring for a client who has a lower body injury and who is able to partially assist with transfers. The nurse should:
A) use a pull sheet whenever moving the client. B) manually roll the client to the side of the bed. C) provide the client with an overhead trapeze. D) teach the client to pull up with the headboard.