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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 a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals.
Explanation of other choices:
A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA.
C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA.
D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.
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What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
- A. The blood pressure (BP) cuff should not be applied to the affected arm.
- B. Venipuncture for blood work should be performed on the affected arm.
- C. The affected arm should be used for intravenous (IV) therapy.
- D. The affected arm should be held down close to the woman's side.
Correct Answer: A
Rationale: The affected arm should not be used for BP readings, IV therapy, or venipuncture. It should be elevated to prevent complications like lymphedema.
The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
- A. Providing more women’sN sheRlterIs G B.C M U S N T O
- B. Ensuring early and adequate prenatal care
- C. Resolving all language and cultural differences
- D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B
Rationale: The correct answer is B: Ensuring early and adequate prenatal care. Prenatal care plays a crucial role in monitoring the health of the mother and the developing fetus, detecting and managing any potential health issues early on, and providing essential education on nutrition and healthy practices. This ultimately leads to healthier pregnancies, reduced risks of complications, and improved outcomes for both the mother and the infant. Providing more women's shelters (A) may help address social issues but does not directly impact infant mortality rates. Resolving language and cultural differences (C) is important for effective healthcare delivery but is not the primary factor in reducing infant mortality. Enrolling pregnant women in Medicaid (D) is beneficial for access to healthcare but does not address the importance of early and adequate prenatal care in reducing infant mortality rates.
A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicates an understanding of the teaching?
- A. I will leave the diaphragm in place for 4 hours following intercourse.
- B. I will remove the diaphragm by catching the rim below the dome with my forefinger.
- C. I will place a thin layer of mineral oil on the diaphragm once per week.
- D. I will place 2 teaspoons of spermicide on the inside of the diaphragm before inserting it.
Correct Answer: D
Rationale: Spermicide should be applied before inserting the diaphragm to maximize contraceptive effectiveness.
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
- A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
- B. “You can have sex as soon as you finish the medicine.”
- C. “You can have sex once your partner takes the medicine.”
- D. “There is no need to wait.”
Correct Answer: A
Rationale: The correct answer is A because chlamydia is a sexually transmitted infection that requires treatment for both the infected person and their partner to prevent reinfection. The recommended practice is to abstain from sex until 7 days after completing treatment to ensure the infection is fully cleared from both individuals. This approach helps to prevent the spread of the infection and reduces the risk of complications.
Choice B is incorrect because simply finishing the medicine without waiting for the partner's treatment can lead to reinfection. Choice C is incorrect as it solely focuses on the partner's treatment without considering the completion of the patient's own treatment. Choice D is incorrect as it disregards the importance of completing treatment and waiting for the specified period before resuming sexual activity.
A 62-year-old woman has not been to the clinic for an annual examination for 5 years. What should the nurse do to facilitate a positive health care experience for this client?
- A. Remind the woman that she is long overdue for her examination.
- B. Carefully listen, and allow extra time for this woman's health history interview.
- C. Reassure the woman that a nurse practitioner is just as good as her old physician.
- D. Encourage the woman to talk about the death of her husband and her fears about her own death.
Correct Answer: B
Rationale: The nurse should listen carefully and allow extra time, as older women may have longer health histories or emotional needs.