A newly hired practical nurse is providing care for a vulnerable adult client admitted to a community rehabilitation center. The client's appointed health care proxy is present at the facility. Which of the following actions by the practical nurse demonstrate compliance with legal guidelines and ethical standards? (Select all that apply.)
- Verifying the identity of an inquiring phone caller using the facility privacy code before sharing authorized health updates.Answer
- BExplaining the surgical risks, benefits, and alternative treatments for an upcoming procedure to the health care proxy.
- Witnessing the signature of the health care proxy on a facility consent form for a scheduled diagnostic test.Answer
- DDiscussing the client's recent cognitive decline with an unauthorized staff member while riding in the public elevator.
- EAccepting a delegated task from the unit manager to formulate the client's initial, comprehensive nursing care plan.
- Promptly notifying the designated supervisor and appropriate state authorities regarding suspicions of financial exploitation by a relative.Answer
Answer
The correct actions include verifying a caller's identity before sharing information, witnessing the health care proxy's signature on a consent form, and reporting suspected financial exploitation to authorities.
The correct actions represent adherence to fundamental legal and ethical nursing standards. Verifying a caller's identity via privacy codes ensures HIPAA compliance. Acting as a witness to a consent signature is a standard and legal function for a practical nurse, provided they are only witnessing the act of signing. Reporting suspected financial exploitation fulfills the nurse's ethical and legal obligation as a mandated reporter to protect vulnerable adults.
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Key Concept
Legal and Ethical Practice for the Practical Nurse