Nokea
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting is currently governed by state laws because family law matters, including surrogacy, fall under state jurisdiction. States have varying regulations and requirements for surrogate parenting arrangements. Federal law does not specifically address surrogate parenting. Individual court decisions may provide guidance but do not establish the overall governing framework. Protective child services do not typically have jurisdiction over surrogate parenting arrangements.
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Which key point is important for the nurse to understand regarding the perinatal continuum of care?
- A. Begins with conception and ends with the birth
- B. Begins with family planning and continues until the infant is 1 year old
- C. Begins with prenatal care and continues until the newborn is 24 weeks old
- D. Refers to home care only
Correct Answer: B
Rationale: The perinatal continuum of care spans from family planning through to the infant's first year, including both home and healthcare facility services. It covers more than just prenatal care and birth.
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
- A. Wear gloves.
- B. Wear mouth, nose, and eye protection.
- C. Wear a mask.
- D. Wash the hands after medication administration.
Correct Answer: A
Rationale: Standard precautions require the use of gloves when providing eye prophylaxis to a newborn.
The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
- A. I am using ointment to keep my skin from drying out.
- B. I wash the irradiated area with deodorant soap.
- C. My diet is high in protein, and I drink at least 2000 ml of fluid a day.
- D. I wash off the markings for the radiation site after each treatment.
Correct Answer: C
Rationale: To maintain good nutrition, the woman should eat high-protein meals or use protein supplements and should have a high daily fluid intake of 2 to 3 L. The woman is counseled about good skin care and taught to avoid soaps, ointments, cosmetics, and deodorants because these may contain metals that would alter the radiation dose she receives.
A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
- A. Autonomy N R I G B.C M U S N T O
- B. Fidelity
- C. Beneficence
- D. Accountability
Correct Answer: C
Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, leading to unrealistic expectations and potential harm. Beneficence is about acting in the best interest of the patient and ensuring their well-being. By misleading the patient, the nurse failed to uphold this principle.
A: Autonomy is the right of the patient to make their own decisions. The nurse did not directly violate the patient's autonomy in this scenario.
B: Fidelity is about being faithful to commitments and promises. The nurse did not violate fidelity, as there was no explicit promise made that was broken.
D: Accountability is about taking responsibility for one's actions. While accountability is important, it is not the primary ethical principle violated in this case.
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.