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Can it still be considered breach of patient confidentiality if the patient information was accidentally overheard by a visitor sitting at the table behind you in the cafeteria?
- A. Yes
- B. No
Correct Answer: A
Rationale: Discussing patient information in a public setting, even unintentionally, can be a breach of confidentiality under HIPAA if overheard.
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Which of the following nursing actions would be considered proactive prevention of lawsuits?
- A. Meeting your patient's needs
- B. Treating your patient with dignity
- C. Developing good nurse-patient rapport
- D. Keeping conversation with your patient to a minimum to reduce chances of offending the patient
- E. Explaining procedures and ensuring the patient's understanding before performing the procedure
Correct Answer: A,B,C,E
Rationale: These actions foster trust, respect, and clear communication, reducing the likelihood of misunderstandings or complaints that could lead to lawsuits.
What factors in the data presented contribute to your increasing concern for this patient's safety?
- A. Multiple bruises, thin appearance, inadequate clothing, flinching
- B. Patient's age, fractured tibia, hospital admission
- C. Mother's dismissive comments, patient eating quickly
- D. No family support, cold weather
Correct Answer: A
Rationale: Bruises, thinness, inadequate clothing, and flinching suggest possible abuse or neglect.
The LPN/LVN has delegated to the UAP the task of getting a patient out of bed for the first time after abdominal surgery. When the UAP enters the patient's room, he finds her very short of breath and complaining of chest pressure. According to the rights of delegation, which right does this fall under?
- A. Right task
- B. Right circumstance
- C. Right person
- D. Right direction
Correct Answer: B
Rationale: The right circumstance ensures the task is appropriate given the patient's condition, which has changed.
Which of the following data should be included in an incident report regarding each incident?
- A. A patient was found on the floor in the bathroom. Include what you believe happened to result in the patient being on the floor.
- B. You administered an incorrect medication to a patient. Include the name, dose, and route of the medication administered.
- C. A patient fell while you were ambulating the patient in the hallway. Include vital signs assessed after the fall.
- D. A patient suffered a skin tear while you were assisting the patient to get out of bed. Include the location, size, and description of the skin tear.
Correct Answer: B,C,D
Rationale: Incident reports should include objective, factual details like medication specifics, vital signs, and injury descriptions, not assumptions.
A(n) is a form to be completed in the event of an unusual occurrence or an accident.
- A. Incident report
- B. Progress note
- C. Discharge summary
- D. Consent form
Correct Answer: A
Rationale: An incident report is used to document unusual occurrences or accidents in a healthcare setting.