Correct Answer: A

Rationale: The correct answer is A because reporting laboratory findings to a member of the client's family breaches confidentiality by disclosing private health information without the client's consent. This violates the client's right to privacy and confidentiality.
Choice B is not a violation as notifying the provider of examination findings is part of the client's care plan.
Choice C is not a violation as discussing a client's surgical procedure with the nurse manager is within the scope of healthcare team communication.
Choice D is not a violation as identifying the client by name when making a referral for home health services is necessary for continuity of care.

Correct Answer: C

Rationale: The correct answer is C: The RN assumes accountability for their tasks, but overall responsibility lies with the charge nurse. This is because the charge nurse is ultimately responsible for the delegation of tasks and coordination of care for all patients on the unit. The RN is accountable for completing their assigned tasks effectively and safely, but the charge nurse holds the overall responsibility for the patients' wellbeing and outcomes. This division of responsibility allows for effective teamwork and oversight in providing quality patient care.



Choices A, B, and D are incorrect because they do not accurately reflect the hierarchical structure of nursing roles and the delegation of responsibilities within a healthcare team.
Choice A implies that the RN has sole responsibility, which is not the case in a team-based healthcare setting.
Choice B incorrectly assigns accountability solely to the charge nurse, undermining the individual responsibility of the RN.
Choice D is incorrect as it absolves the RN of any responsibility or accountability, which goes against the professional standards of nursing practice.

Correct Answer: D

Rationale: The correct answer is D: responsible, accountable. In this scenario, the nurse is delegating a specific task to the unlicensed personnel, making them responsible for completing it. However, the nurse remains ultimately accountable for the patient's wellbeing, ensuring that the care provided meets standards and addressing any issues that may arise. Accountability refers to answerability for the outcomes, while responsibility pertains to specific tasks.

Choices A and C are incorrect because they do not encompass both responsibility and accountability.
Choice B is incorrect as accountability cannot exist without responsibility.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates appropriate delegation by providing clear instructions, ensuring patient safety, and emphasizing communication with the RN for further assessment. The unlicensed assistive personnel is directed to assist Mr. G safely back to bed and notify the RN for assessment. This scenario prioritizes patient needs, safety, and effective communication, aligning with best practices for delegation.
Choice A lacks urgency and focuses on education rather than immediate patient care.
Choice C involves potential clinical assessment and treatment beyond the scope of the unlicensed personnel.
Choice D is inappropriate as it disregards the individual's comfort level and prioritizes personal learning over patient care.

Correct Answer: B

Rationale:
Rationale: The correct answer is B. Standards of practice list essential skills and responsibilities expected from all nurses, regardless of their role. This ensures consistent quality care delivery. Ethics (
A) are a part but not the sole focus. Protocols (
C) are specific to certain conditions. Accreditation criteria (
D) are not part of practice standards.

Choices E, F, and G are not provided in the question.