Ali is a new graduate nurse and has been working on the nursing ...

[Yi-Chen]

Ali is a new graduate nurse and has been working on the nursing unit for six months. Ali has noticed that the nurses' station attempts to keep patient information confidential.
 
  Which of the following actions are not good practices for maintaining confidentiality? 1. Placing the patient chart upside down on the desk when not in use so the name is not revealed.
   2. Speaking of patient's by room number, not by name.
   3. Staying logged onto a computer to answer a call light.
   4. Removing patient identifiers on a medication bottle and throwing it into the garbage can.

Question 2

A 9-year-old has come to the nurse's office at the school complaining of arm pain. The nurse examines the arm and notices fingertip bruises on the forearm, as if it has been squeezed tightly.
 
  The nurse talks to the child about how the arm got the bruises. The next action the school nurse should take is: 1. Report this to the classroom teacher, principal, and Child Protective Services since it is a questionable mark on the forearm.
   2. Let the child go back to the classroom since this is a normal bruising pattern that children get at this age through play.
   3. Let the child go back to the classroom since the child explains that the bruises came from a game of tag.
   4. Document the bruising and follow up with the child in two days to make sure it is healing.

[jliusyl]

Answer to Question 1

3
Feedback
1. This is a good practice for confidentiality.
2. This is a good practice for confidentiality.
3. This allows for anyone to see the computer information about a patient, thus breaking confidentiality.
4. This is a good practice for confidentiality.

Answer to Question 2

1
Feedback
1. The nurse is a mandatory reporter and should speak with the people listed because bruising like this is abnormal for a child.
2. This is an abnormal bruising pattern for child.
3. Documentation and notification should occur because this is an abnormal bruising pattern for a child.
4. Documentation and notification should occur because this is an abnormal bruising pattern for a child.

[Yi-Chen]

Excellent

[mcarey591]

Thanks for the timely response, appreciate it