When documenting in the client's computerized medical record, ...

[NguyenJ]

When documenting in the client's computerized medical record, which of the following actions by the nurse might result in a breach of client confidentiality?
 
  1. The nurse uses a password to access the client's record.
  2. The nurse is chatting with a co-worker while the medication record is on the screen.
  3. The nurse turns the monitor so that it is not visible from the hallway.
  4. The nurse closes the client's record and signs off the computer when done.

Question 2

While discharging a client newly diagnosed with heart disease, the family asks about support groups in the area. The nurse's best response would be to:
 
  1. Call the physician and ask for a referral.
  2. Call the charge nurse and ask for a referral.
  3. Call the American Heart Association and obtain information about support groups to provide to the client.
  4. Tell the client that the staff cannot give out that information.

[SVictor]

Answer to Question 1

2
Rationale: The co-worker is not caring for the client, and should not be viewing anything about the client. All other actions by the nurse are appropriate.

Answer to Question 2

3
Rationale: When a client asks the nurse for help with referrals for self-help groups or groups related to education of a particular disease process, the nurse is capable of assisting the client without consulting the physician or nurse manager. Community referrals are a nursing responsibility.

[NguyenJ]

Gracias!

[gcook]

Wow, this really help