Nokea
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.
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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.
You need to have a patient sign informed consent for a procedure that the doctor has explained. The patient is a 17-year-old female who is married and has a child. Her mother is also in the room. Who should sign the form?
- A. The patient's mother if the patient lives with her
- B. Only the patient's father can sign the form
- C. The patient
- D. Whichever parent is the custodial parent
Correct Answer: C
Rationale: A 17-year-old who is married is considered emancipated and can sign informed consent herself.
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.
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.