Nokea
A nursing student posted a comment about her clinical experience on Facebook. She did not use the patient's or the nurse's names but described them both in negative terms. This was
- A. acceptable because no names were used.
- B. unacceptable because it can be considered slander.
- C. unacceptable because it violates confidentiality.
- D. acceptable because the location of the patient was not revealed.
Correct Answer: C
Rationale: Posting negative descriptions of patients, even without names, violates confidentiality and professional ethics.
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An LPN plans to delegate the task of getting an informed consent form signed to a CNA. Which of the five rights of delegation would be violated by this decision, if any?
- A. Right task
- B. Right circumstances
- C. Right person
- D. Right directions and communication
- E. Right supervision and evaluation
Correct Answer: C
Rationale: Obtaining informed consent is not within a CNA's scope of practice, violating the right person principle.
Violation(s) of HIPAA include:
- A. failure to comply with mandatory reporting of suspected child abuse.
- B. documenting inaccurate information in your nurse's notes.
- C. discussing the patient's condition in the hospital dining room.
- D. filling out an incident report.
- E. leaving a patient's EHR visible on a computer screen that visitors can see.
- F. telling your neighbor about a mutual friend hospitalized for treatment of a sexually transmitted disease.
Correct Answer: C, E, F
Rationale: Discussing patient information in public areas, leaving EHRs visible, and sharing patient details with unauthorized individuals violate HIPAA's Privacy Rule.
Who is responsible for serving as the primary advocate for the patient?
- A. The nurse
- B. The health-care provider
- C. The nurse supervisor
- D. The hospital
- E. The laboratory technician
Correct Answer: A
Rationale: Nurses are primarily responsible for patient advocacy, acting in the patient's best interest.
You are suspicious that a coworker might be diverting drugs from patients for her own personal use. Which of the following are the least appropriate actions to take?
- A. Accuse her of being a drug addict
- B. Ask your best friend with whom you work what she thinks about it
- C. Report your suspicions to your supervisor
- D. Ignore the situation because it is none of your business
- E. Wait until you can catch her yourself before reporting it
Correct Answer: A, B, D, E
Rationale: Accusing without evidence, gossiping, ignoring, or delaying reporting are unprofessional and unsafe; reporting to a supervisor is appropriate.
Which of the following can be considered restraint devices?
- A. Bed rails
- B. Belts
- C. Tied sheets
- D. Sedatives
- E. Wrist restraints
- F. Vest restraints
Correct Answer: A, B, C, E, F
Rationale: Bed rails, belts, tied sheets, wrist restraints, and vest restraints are physical restraints; sedatives are chemical restraints but not devices.