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National Council Licensure Examination(NCLEX-PN) Questions 361–365 (page: 74)

Updated On: 9-Feb-2026

The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report.

The nurse should ______________.

  1. request that the family wait for its loved one in the client’s room and wait to resume the report until the family has left the desk area
  2. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report
  3. request that the family have a seat in the station rather than stand while awaiting its loved one
  4. request that the family wait for its loved one in the Emergency Department waiting room

Answer(s): A

Explanation:

To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client’s room, and the report should be resumed only after it can no longer hear what is said.



The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice.

This is an example of ______________.

  1. professional nurturing
  2. networking
  3. mentoring
  4. collegiality

Answer(s): B

Explanation:

Networking involves the process of developing and using contacts throughout one’s professional career for information, advice, and support.
Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building.
Collegiality is the professional camaraderie or rapport established among persons through shared experiences.



A legal right to confidentiality of client information is waived when ______________.

  1. a court system subpoenas information
  2. a family member requests health care information of a client
  3. a living will takes effect
  4. the client is declared incompetent by the legal system

Answer(s): A

Explanation:

The legal right to confidentiality is waived when the court requires information to be given to the court for legal proceedings to occur (summonses, court orders, litigation information necessary for the court, subpoenas, and so on), when the state requires mandatory reporting of certain illnesses, when sharing information is necessary because a client has revealed an intent to harm himself or others, or when a client cannot make a safe and rational decision (competence).



A gastroenterologist should be consulted for clients suffering from ______________.

  1. digestive system diseases
  2. urinary system diseases
  3. female reproductive system diseases
  4. nervous system diseases

Answer(s): A

Explanation:

A gastroenterologist cares for clients with digestive system diseases. A urologist cares for clients with urinary system diseases.
A gynecologist cares for clients with female reproductive system diseases. A neurologist cares for clients with nervous system diseases.



A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long- term care facility for rehab.

To provide optimal continuity of care, the nurse should do all of the following except ______________.

  1. document current functional status
  2. have the physician phone a report to the receiving facility
  3. copy appropriate parts of the medical record for transport to the receiving facility
  4. phone a report to the facility

Answer(s): B

Explanation:

It is the nurse’s responsibility to communicate the client’s condition and care plan to the receiving facility to support continuity of care.
Documentation of the client’s baseline functional status is important for the receiving facility to work with in further goal setting.
A copy of select portions of the medical record (according to facility policy) is another form of communication and supports continuity.
A physician might be asked to be involved if there are specific medical needs or orders that she believe are important, but is generally not involved.



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