Correct Answer: C

Rationale: The correct answer is C: Determine the reasons the nurses are not taking scheduled breaks. This step is crucial because it allows the charge nurse to understand the underlying factors contributing to the nurses' behavior. By identifying the reasons, the charge nurse can address any issues or concerns the nurses may have, such as workload, staffing shortages, or personal preferences. This approach promotes open communication and helps in developing a solution tailored to the specific situation. Reviewing policies (
A) may be necessary but not as immediate as understanding the reasons. Discussing time management strategies (
B) may not address the root cause. Providing coverage (
D) assumes the issue is solely related to staffing, which may not be the case.

Correct Answer: D

Rationale: The correct answer is D. The statement "I might have to wear a nose clip during this test" indicates an understanding of a pulmonary function test as it is common for clients to wear a nose clip to ensure accurate measurements of lung function. This demonstrates awareness of the specific equipment used during the procedure.

A: Incorrect. Contrast dye is not typically used in a pulmonary function test.
B: Incorrect. Running on a treadmill is associated with a stress test, not a pulmonary function test.
C: Incorrect. Inserting a tube into the airway is more indicative of procedures like bronchoscopy, not a pulmonary function test.

Correct Answer: A

Rationale: The correct answer is A because a client with a concussion being monitored for complications is an appropriate assignment for a newly licensed nurse. This client likely requires routine neurological assessments, vital sign monitoring, and observation for any changes in neurological status. This assignment would allow the newly licensed nurse to practice basic nursing skills under supervision and gain experience in assessing and managing a common neurological condition.

Choices B, C, and D involve clients with more complex neurological conditions like Guillain-Barré syndrome, multiple sclerosis, and a brain tumor requiring specialized care and interventions beyond the scope of a newly licensed nurse. Assigning these clients to the newly licensed nurse could pose risks to their safety and well-being due to the complexity and specific care requirements of their conditions.

Correct Answer: A

Rationale: The correct answer is A: HIPAA allows clients to request a review of their own medical records. This is correct because the Health Insurance Portability and Accountability Act (HIPA
A) grants individuals the right to access and review their own medical records. This ensures transparency and empowers patients to be informed about their own health information.

Explanation for incorrect choices:
B: Clients who participate in research studies do not forfeit their HIPAA right to privacy. HIPAA still protects their health information.
C: HIPAA does not specifically prohibit the uploading of photographs of client's providers to social media sites. It focuses on safeguarding protected health information.
D: While HIPAA does ensure privacy through various measures, facility-specific coding of client health care information is not a specific requirement or provision of HIPAA.

Correct Answer: A

Rationale: The correct answer is A because recommending stable clients for discharge during a disaster helps free up resources for more critical patients. This decision can enable the facility to focus on providing care to those in urgent need.
Choice B is incorrect because only authorized prescribers can prescribe medications.
Choice C is incorrect as communication during a disaster should focus on immediate client care rather than performance improvement.
Choice D is incorrect since providing information to the media is typically the role of designated spokespersons.