Nokea
A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
- A. I can use another nurse's password as long as I log off after using the computer
- B. I should encrypt personal health information when sending emails
- C. I can post the client's vital signs in the client's room
- D. I should discard personal health information documents in the trash before leaving the unit
Correct Answer: B
Rationale: The correct answer is B because encrypting personal health information when sending emails is a crucial aspect of maintaining client confidentiality. This process ensures that sensitive information is protected during electronic communication. Choice A is incorrect as sharing passwords violates client confidentiality. Choice C is incorrect as posting client's vital signs breaches confidentiality. Choice D is incorrect as discarding personal health information in the trash can lead to unauthorized access.
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What is the significance of patient advocacy in nursing?
- A. Prioritizing the needs of the healthcare team over the patient
- B. Ensuring that patients' rights and preferences are respected
- C. Limiting patient autonomy
- D. Focusing solely on clinical procedures
Correct Answer: B
Rationale: Patient advocacy in nursing entails ensuring that patients' rights and preferences are respected. This involves advocating for the patients' best interests, supporting informed decision-making, and safeguarding their autonomy. Choice A is incorrect because patient advocacy focuses on the patient's needs, not the healthcare team's. Choice C is incorrect as patient advocacy aims to empower patients and enhance their autonomy rather than limiting it. Choice D is incorrect since patient advocacy goes beyond clinical procedures to encompass holistic care that addresses the patients' preferences and rights.
What is the normal sodium level in the body?
- A. 135 to 145 milliequivalents per liter.
- B. 3 to 5 milliequivalents per liter.
- C. 135 to 145 microequivalents per liter.
- D. 3 to 5 microequivalents per liter.
Correct Answer: A
Rationale: The correct answer is A: 135 to 145 milliequivalents per liter. The normal range for sodium levels in the body is expressed in milliequivalents per liter, not microequivalents. Choice B and D provide a significantly lower range which is not within the normal values for sodium. Choice C incorrectly states 'microequivalents' instead of the correct unit 'milliequivalents'. Therefore, A is the correct answer.
How do the public view nurses today?
- A. Nurses are assistants to physicians.
- B. Nurses view the person within the family and community.
- C. Nurses are different from other health-care providers.
- D. Nurses are closely involved in shaping the health care of the future.
Correct Answer: A
Rationale: The correct answer is A: 'Nurses are assistants to physicians.' The public image of nurses, as portrayed by the media, often positions them as assistants to physicians. This perception stems from historical depictions and the traditional hierarchy within healthcare settings. Choice B is incorrect because it reflects how nurses perceive their patients, not how the public views nurses. Choice C is incorrect as nurses are part of the broader healthcare team but are not seen as fundamentally different from other healthcare providers by the public. Choice D is incorrect as while nurses play a crucial role in shaping healthcare, the public perception often focuses more on their supportive role in the healthcare system.
You have just learned that another nurse was fired for taking photographs of patients without their permission using a cell phone and posting them on Facebook. This nurse was fired because the nurse had:
- A. Violated the law
- B. Acted in a negligent manner
- C. Not completed the proper documentation
- D. Violated an ethical principle
Correct Answer: A
Rationale: The correct answer is A: Violated the law. Taking and sharing patient photographs without consent is a violation of patient privacy laws, hence the nurse was fired for breaking the law. Choice B, acting in a negligent manner, is incorrect as the nurse's actions were intentional and not due to negligence. Choice C, not completing proper documentation, is unrelated to the situation described. Choice D, violating an ethical principle, is not specific enough as the primary reason for the nurse's termination was the legal breach regarding patient privacy.
Which of the following healthcare providers can legally have access to all, or part, of a patient's medical record because they have a 'need to know'? Select one that does not apply.
- A. Student nurses caring for a particular patient
- B. Registered nurses when they are not caring for a particular patient
- C. The Vice President for nursing who is investigating a patient fall
- D. Licensed practical nurses caring for a particular patient
Correct Answer: B
Rationale: Student nurses, licensed practical nurses, the Vice President for nursing investigating a fall, and quality assurance nurses have a 'need to know' basis to access patient records. Registered nurses who are not directly involved in the care of a patient do not have a legitimate reason or 'need to know' to access that patient's medical records, making choice B the correct answer. The Vice President for nursing investigating a specific incident and licensed practical nurses directly involved in a patient's care have legitimate reasons to access the medical records, ensuring continuity and quality of care.