1.) A nurse working in a hospital overhears following conversation between two other nurses on

the elevator. Which of the following actions should the nurse take?

a. Inform the nurses that the neighbor's dog did not cause the wound.

Accurate information is important. However, the nurse should only share client

information in a private location with staff members who are directly involved in the

client's care and have a need to know.

b. Tell the nurses that this conversation is not appropriate.

The nurse has the responsibility to protect the client's right to confidentiality and

should intervene on the client's behalf. A breach of client confidentiality can result

in liability for those involved.

c. Complete an incident report upon returning to the unit.

The nurse is not required to complete a facility incident report for this behavior.

d. Report the nurses' conversation to the client's provider.

The nurse should report the nurses' behavior to the charge nurse, but it is not

necessary to report the conversation to the provider.

2.) A nurse is reinforcing teaching about carbohydrates counting with a client who has a new

diagnosis of diabetes mellitus. Which of actions should the nurse take first?

a. Use pictures of different food groups to help the client plan a daily menu.

Using visual aids will assist with reinforcing the teaching, but it is not the first action the

nurse should take.

b. Ask the client what he already knows about meal planning.

The first action the nurse should take using the nursing process is to collect data to

determine the client's current level of knowledge. Then, the nurse can plan education to

meet the client's needs.

c. Give the client a brochure with sample menus for all meals.

Using sample menus will assist with reinforcing the teaching, but it is not the first action

the nurse should take.

d. Involve the family in the discussion of the client's meal plan.

Involving the client's family will assist with reinforcing the teaching, but it is not the first