Issues addressed in ethics committees include all of the following except:
- A. nonpayment of bills.
- B. euthanasia.
- C. starting or stopping treatment.
- D. use of feeding tubes.
Correct Answer: A
Rationale: Ethics committees do not deal with financial matters of payment. Euthanasia, starting or stopping treatment, and use of feeding tubes to maintain nutritional status are topics within the ethical scope of the committee's function.
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Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
- A. I should put alcohol on my baby's cord 3-4 times a day.'
- B. I should put the baby's diaper on so that it covers the cord.'
- C. I should call the physician if the cord becomes dark.'
- D. I should wash my hands before and after I take care of the cord.'
Correct Answer: D
Rationale: Parents should be taught to wash their hands before and after providing cord care. This prevents transferring pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations include cleaning the area around the cord 3-4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries.
Which of the following strategies should the nurse include when planning care for children of migrant workers?
- A. Delay immunization because of acute illness
- B. Provide parents with copies of medical records
- C. Schedule preventive services at acute illness visits
- D. Stress the importance of using one primary care provider
Correct Answer: B
Rationale: Providing medical records ensures continuity of care for migrant children, who frequently relocate, supporting consistent health management.
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
- A. right to refuse treatment
- B. right to continuity of care
- C. right to confidentiality
- D. right to reasonable responses to requests
Correct Answer: C
Rationale: The right to confidentiality of client information might be breached when client care situations are discussed in public areas or without regard to maintaining the information as private and confidential. The other rights listed have not been breached in this instance.
Which of the following scenarios are considered violations of HIPAA laws?
- A. Discussing discharge plans with a client in a multi-bed recovery room with the curtain drawn around the client's bed.
- B. Looking up the medical information of a friend not in your care but who gave you permission.
- C. Checking on your spouse's medical record because you are listed as her power of attorney.
- D. Avoiding conversations about clients while in line in the cafeteria with a mutual caregiver of that client.
- E. Looking up only the address of a co-worker who delivered a baby so you can surprise her with a gift.
Correct Answer: D
Rationale: Reviewing or obtaining any information regarding clients not in your care or discussing sensitive client information in non-secure environments are violations of HIPAA. Discussing discharge plans in a multi-bed recovery room is considered an 'incidental disclosure' and is not considered a HIPAA violation.
Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
- A. calcium
- B. magnesium
- C. glucose
- D. cholesterol
Correct Answer: C
Rationale: Glucose is monitored closely when a client is on total parenteral nutrition, due to high glucose concentration in the solutions. The other values are not monitored as closely.