Nokea
A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:
- A. Patient Self-Determination Act
- B. Health Insurance Portability and Accountability Act of 1996
- C. Americans with Disabilities Act
- D. Civil Rights Act
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability.
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A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
A community health nurse is providing education about the “Dietary Approaches to Stop Hypertension” (DASH) eating plan. Which of the following recommendations would be included in this presentation?
- A. The use of this dietary plan has the same health effects as a daily exercise program.
- B. The use of this dietary plan will eliminate the need for medication to treat hypertension.
- C. This dietary plan excludes the consumption of processed foods.
- D. This dietary plan includes eating greater amounts of fruits and vegetables.
Correct Answer: D
Rationale: The DASH plan encourages eating more fruits and vegetables to help lower blood pressure.
A 5-year-old is prescribed a medication that is renally excreted. Which of the following considerations should be made when the nurse examines the dosage of the medication?
- A. The dosage should be lower than the recommended dose.
- B. The dosage should be at the recommended dose.
- C. The dosage should be higher than the recommended dose.
- D. The medication should not be administered.
Correct Answer: B
Rationale: Kidneys reach full maturity by early toddler years, so the recommended dose can be given.
A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, “Tell me more about how this diagnosis has affected your daily activities.” Which of the following best describes the type of communication the nurse is using?
- A. Verbal communication
- B. Nonverbal communication
- C. Metacommunication
- D. Functional communication
Correct Answer: A
Rationale: The nurse's use of words to ask for more information from the client is an example of verbal communication.
Which of the following is most influenced by the social and economic environment of a community?
- A. Social health policies
- B. Quality of care
- C. Evidence-based practice
- D. Practice guidelines
Correct Answer: A
Rationale: Social health policies are shaped by the community's social and economic environment, influencing healthcare access and priorities.