Nokea
If a nurse takes a picture of coworkers with a patient and sends it out on Instagram with a funny caption, it would be considered
- A. Acceptable because no names were used.
- B. Acceptable because the nurse's friends do not know the patient or his coworkers.
- C. Unacceptable because the nurse did it during work hours.
- D. Unacceptable because it is a violation of the patient's privacy.
Correct Answer: D
Rationale: Sharing patient images without consent violates HIPAA and patient privacy.
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Which type of hospital in the United States requires that you shred any notes that are written while caring for the patient before you leave the facility?
- A. Military hospital
- B. Private hospital
- C. Teaching hospital
- D. Public hospital
Correct Answer: A
Rationale: Military hospitals often have strict policies requiring shredding of notes to protect sensitive patient information.
What further concerns you the most about this child's situation?
- A. Flinching when mother gestures
- B. Inadequate clothing for cold weather
- C. Multiple bruises on back and arms
- D. Rapid eating and requesting more food
Correct Answer: C
Rationale: Multiple bruises indicate potential physical abuse, a serious safety concern.
An older patient has no living family members and asks the nurse to help her tell the doctor that she no longer wants to take treatment for her cancer. They discuss the possibility of the patient going into a hospice house in the future. The nurse stays with the patient when the patient talks to her doctor about her decision. This is an example of
- A. An ethical dilemma.
- B. Advocating for the patient.
- C. Do-not-resuscitate orders.
- D. A situation for the ethics committee.
Correct Answer: B
Rationale: The nurse supports the patient's autonomy and decision-making, acting as an advocate.
A nurse failed to lock the brakes on a wheelchair before transferring the patient from the bed to the wheelchair. The wheelchair rolled backward and the patient fell, causing several fractures. This nurse could be found guilty of
- A. False imprisonment.
- B. Malpractice and negligence.
- C. Assault.
- D. Battery.
Correct Answer: B
Rationale: Failure to follow safety protocols is negligence, and resulting harm constitutes malpractice.
Your patient has been newly diagnosed with AIDS. You are good friends with the patient's wife and feel that you should tell her so that she can be tested. Which of the following statement(s) is(are) true?
- A. Because the wife is considered an immediate family member, it is permissible for you to discuss the patient's test results with her.
- B. Failure to disclose the serious diagnosis to the wife could be considered negligence.
- C. The patient must give permission for the AIDS test results to be disclosed to the wife.
- D. Discussing the test results without the patient's permission is a breach of HIPAA.
Correct Answer: C,D
Rationale: HIPAA requires patient consent to disclose protected health information, including to family members. Unauthorized disclosure is a HIPAA violation.