Chapter 3 NCLEX Questions Foundations of Nursing

Chapter 3 NCLEX Questions Foundations of Nursing 5.0 (6 reviews) Students also studied Terms in this set (7) Science MedicineNursing Save NCLEX Questions on HIPAA Compli...20 terms sarahbethdean12 Preview Chapter 4 NCLEX Questions Founda...

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dan Which action(s) violate the HIPAA? (Select all that apply)

• Discussing the comatose patient's condition with his

father-in-law

• Discussing the outcome of a patient's test with another

nurse from the unit while in a crowded elevator

• Relaying information about the patient's concerns to

the nurse who will care for him on the next shift

• Relaying a complaint about the quality of nursing care

by the patient's wife to the charge nurse

• Updating your social media site about a difficult clinical

day, including hospital and patient's diagnosis, but NOT the patient's name A, B, E. Rationale: Patient medical information is private, and all of these examples would constitute an invasion of the patient's privacy about medical information, be against the HIPAA privacy rule, and be unethical according to nursing standards.You witness a nursing assistant force a patient who is trying to stand up into a chair saying, "Don't keep trying to get up or I will restrain you." The nursing assistant's

behavior is an example of:

• Assault
• Battery
• Assault and battery
• Negligence

C. Rationale: Assault is a threat to do bodily harm or to touch someone against

their permission. Battery is unlawful physical contact. In the example, the assistant does both.Your patient has experienced severe complications during surgery and remains on life support. Decisions about care can be more easily made if the patient has which documents in place?

• A power of attorney over financial affairs
• An advance directive
• A will
• No special documentation is needed
• Rationale: An advance directive is a consent that delineates a patient's wishes

regarding surgery or diagnostic or therapeutic treatments. These provide direction for making decisions in the event a patient's condition is such that he cannot make the decision himself.

The visitor of one of your patients stops you in the hall and says, "I hope you will not try to revive my neighbor if

her heart stops." The correct response is:

• "That decision is up to the physician."
• "We are all trained in CPR."
• "I understand your concern, but I can't discuss your

neighbor's care with you."

• "There is a 'do-not-resuscitate' order in her medical

record."

• Rationale: This response politely, yet firmly, informs the person inquiring about

the patient that this is not a topic for discussion because doing so would constitute a major violation of your patient's privacy. Visitors may use this type of statement (which you may agree with) as a means of trying to get you to disclose information about their friend.The student neglects to raise the head of the bed of a patient receiving continuous tube feedings. The patient aspirates and develops pneumonia. Which correctly describes the student's liability in this situation?

• The charge nurse is responsible because she did not

delegate care properly

• The LPN caring for the patient is solely responsible

because she is licensed

• The student is expected to provide the same standard

of care as the LPN

• Both the nursing instructor and the student are equally

liable

C. Rationale: Though they may not be as fast or efficient as a licensed nurse,

students caring for patients in the clinical setting are expected to perform all tasks and duties to which they are assigned at the level of the LPN A patient confides that her broken arm is the result of her husband's abuse of her. In this instance, the nurse is

required to:

• Get a second nurse to witness her statement
• Report the abuse to the authorities
• Assure the patient that the information will be kept

private

• Confirm the abuse with another family member and

then notify the charge nurse

B. Rationale: Nurses have a duty to report any suspected abuse and cannot keep

the information "private." Your patient asks you, "What do you think of my physician?" You mention that the physician does not seem to care about her patients or how well their symptoms are managed. As a result, the patient switches to another

physician. The physician may have grounds to sue you for:

• Malpractice
• Slander
• Libel
• Invasion of privacy

B. Rationale: Slander is when one person makes verbal remarks about another

person that are untrue and the remarks damage the other person's reputation.