nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Complete an incident report about the breach of confidentiality.
Contact facility security to remove the nurse from the unit.
The Correct Answer is B
A. While it is important to restrict access to medical records, it is not solely the risk manager's role to give permission; the policy should be followed regarding patient information access.
B. Reminding the nurse that only those directly involved in the client's care should access their medical record upholds confidentiality and patient privacy standards.
C. Completing an incident report is a more formal step and might be warranted later, but initially addressing the behavior directly is more appropriate.
D. Contacting security would be an extreme response; addressing the situation with the nurse first is typically the best course of action.
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Correct Answer is A
Explanation
A. Tightening the abdominal muscles helps to stabilize the core and reduce strain on the back while lifting, thereby decreasing the risk of injury. This action supports proper body mechanics.
B. Bending at the waist places undue strain on the back muscles and increases the likelihood of injury. Proper lifting technique involves bending at the knees.
C. Keeping the legs straight leads to improper body mechanics, which can strain the back and lead to injury. Bending at the knees is recommended.
D. Holding the object away from the body increases stress on the back muscles. Holding it close to the body helps to distribute the weight evenly.
Correct Answer is A
Explanation
A. Providing finger foods can enhance the client’s ability to feed themselves and may encourage eating, especially for clients with dementia who may have difficulty using utensils or concentrating on traditional meals. This approach promotes independence and can make meals more enjoyable and less stressful.
B. While reducing distractions can be helpful, completely restricting visitors might increase feelings of isolation and may not significantly impact food intake. A supportive social environment can enhance the meal experience.
C. Limiting snacks between meals can decrease overall caloric intake, which is counterproductive for a client at risk for malnutrition. Allowing healthy snacks can help maintain energy levels and supplement nutritional needs.
D. Providing three large meals may overwhelm a client with dementia, as they might struggle with portion sizes and meal structure. Smaller, more frequent meals can be more effective in encouraging intake and ensuring that the client receives adequate nutrition.