A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?

Correct Answer: A

Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality. Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.

Correct Answer: C

Rationale: The correct answer is C: Home Health. The rationale is that Home Health agencies provide skilled nursing services for patients at home, including apnea monitoring for newborns. They can offer training to the guardian on how to use the equipment properly. Incorrect choices: A: Child Protective Services - This agency is not relevant for providing medical care or monitoring. B: Public Health - While public health agencies may provide some services, they typically do not offer home monitoring equipment or training. D: Women, Infants, and Children (WIC) - WIC provides supplemental nutrition, not medical monitoring services.

Correct Answer: B

Rationale: The correct answer is B: Mediation. Mediation is a voluntary process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a mutually acceptable agreement. In this scenario, the trend member listened to both parties and made non-legally binding recommendations, which aligns with the definition of mediation. Collective bargaining (A) involves negotiations between labor unions and management to reach a legally binding collective agreement. Grievance (C) is a formal complaint resolution process within the organization. Binding arbitration (D) is a process where a neutral third party makes a final and binding decision to resolve a dispute. In this case, the involvement of a trend member making non-legally binding recommendations indicates the use of mediation as the type of settlement.

Correct Answer: B

Rationale: The correct answer is B because the charge nurse is considered part of the management team. As a member of the management team, participating in union activities would create a conflict of interest since the charge nurse is responsible for overseeing and directing other nurses. The charge nurse's role involves making decisions that impact the work environment and staffing, which aligns more closely with management responsibilities. Therefore, union participation would be inappropriate for the charge nurse as it could compromise their ability to effectively carry out their managerial duties. Choices A, C, and D are incorrect because they do not accurately reflect the relationship between the charge nurse role and unionization. Choice A suggests automatic arbitration of grievances by the Union, which may not be the case for a charge nurse. Choice C states the nurse is not eligible for collective bargaining activities, which is not specifically tied to the charge nurse role. Choice D suggests that the nurse can be represented by the union, which is inaccurate for a charge nurse who is typically considered part of the management team

Correct Answer: A

Rationale: The correct answer is A. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients. Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values. Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct. Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.