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Zorluk: KolayClient Rights and Advocacy

During a shift on a busy medical-surgical unit, a practical nurse is assigned to care for several adult clients. Based on the standards for client rights and advocacy, which of the following actions by the practical nurse are appropriate? (Select all that apply)

  1. Logging off the electronic health record system immediately after completing documentation for a clientCevap
  2. B
    Explaining the specific risks and alternative options of an upcoming surgery to a questioning client
  3. Verifying a phone caller's identity using a pre-established facility privacy code before providing a health status updateCevap
  4. D
    Discussing a client's newly diagnosed condition with another nurse while riding in the public hospital elevator
  5. E
    Placing soft wrist restraints on a restless client to prevent wandering before trying less restrictive measures
  6. Closing the room door and pulling the privacy curtain completely around the bed before performing a physical assessmentCevap

Cevap

The appropriate actions are logging off the electronic health record, verifying caller identity with a privacy code, and ensuring physical privacy by closing the door and curtain.
Protecting client rights involves maintaining both physical privacy and information confidentiality. Logging off the computer prevents unauthorized access to electronic health records. Verifying a caller's identity using a designated code ensures information is only shared with authorized individuals. Providing physical privacy during assessments respects the client's dignity.

Adım Adım Çözüm

1
Evaluate each intervention against the principles of client rights, confidentiality, and the practical nurse scope of practice.
Identify actions that protect privacy and fall within the correct scope.
Client advocacy requires nurses to protect both medical information and physical dignity.
2
Identify actions that violate confidentiality or scope of practice.
Eliminate the options involving public discussions, providing primary surgical explanations, and bypassing restraint alternatives.
These actions breach HIPAA, exceed the PN role in informed consent, and violate the right to a least restrictive environment.

Anahtar Kavram

Client Rights, Confidentiality, and the Practical Nurse Scope of Practice
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