A practical nurse (PN) is reviewing daily clinical activities while assigned to a multidisciplinary community health clinic. Which of the following actions by the PN correctly demonstrate adherence to legal and ethical standards of care? Select all that apply.
- Witnessing a client's signature on an informed consent document after confirming the healthcare provider has answered all of the client's questionsAnswer
- Declining a directive from the charge nurse to perform the comprehensive admission assessment for a newly arrived clientAnswer
- Logging out of the electronic health record on a hallway computer terminal immediately after entering a client's vital signsAnswer
- DProviding a detailed explanation of potential surgical complications to a client who appears hesitant before signing a consent form
- EPostponing the notification of protective services regarding suspected abuse until conclusive evidence is obtained
- FDiscussing a client's recent diagnosis with an unassigned nurse in the facility cafeteria to seek advice on care planning
Answer
The correct actions are witnessing the informed consent after the provider's explanation, declining the comprehensive admission assessment, and logging out of the electronic health record in the hallway.
The correct actions demonstrate a clear understanding of the PN's legal and ethical boundaries. A PN may act as a witness to an informed consent signature only after verifying the provider has explained the procedure. Performing a comprehensive initial assessment is outside the PN scope of practice, making it legally appropriate to decline this task. Furthermore, securing electronic health records by logging out prevents unauthorized access, adhering strictly to HIPAA regulations.
Step-by-Step Solution
Key Concept
Legal and Ethical Practice