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As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client’s room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?
- A. Join in the conversation in case the RN is assigned to care for the client in the future.
- B. Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
- C. Correct a statement made by one of the staff members.
- D. Ignore the conversation.
Correct Answer: B
Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
Rationale:
1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent.
2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy.
3. Joining the conversation (choice A) would further violate the client's confidentiality.
4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach.
5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.
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On a voting ballot, the individuals who are to be elected during a vote are called:
- A. Representatives.
- B. Candidates.
- C. Bargaining agents.
- D. Electorate.
Correct Answer: B
Rationale: The correct answer is B: Candidates. Candidates are individuals who are running for election and seeking to be elected to a specific position. They are the ones whose names appear on the voting ballot for voters to choose from. Representatives (A) are individuals who have already been elected to represent a group or constituency. Bargaining agents (C) are individuals who negotiate on behalf of others, typically in labor relations. The electorate (D) refers to all the eligible voters in a particular election, not the individuals who are running for election. Therefore, B is the correct answer as it specifically identifies the individuals seeking election on a voting ballot.
To best reduce the potential for risk, what type of atmosphere is needed to be developed?
- A. Nurse-focused
- B. Physician-focused
- C. Family-focused
- D. Patient-focused
Correct Answer: D
Rationale: The correct answer is D: Patient-focused. Developing a patient-focused atmosphere is crucial to reduce potential risks in healthcare. Patients should be at the center of care, with their needs, preferences, and safety prioritized. In a patient-focused atmosphere, communication is enhanced, leading to better understanding and adherence to treatment plans, reducing errors and adverse events. Nurses, physicians, and families play important roles in patient care, but ultimately, the patient should be the primary focus.
Incorrect choices:
A: Nurse-focused - Focusing solely on nurses may neglect the holistic approach to patient care and fail to address the patient's needs directly.
B: Physician-focused - Similarly, focusing only on physicians may lead to a lack of patient involvement in decision-making and may not address the emotional and psychological aspects of care.
C: Family-focused - While involving families in care is important, solely focusing on them may not always align with the patient's best interests and may not address the patient's autonomy and individual needs.
Which of the following clients would most likely be selected for case management?
- A. An adolescent with a gunshot wound who is in the ER.
- B. A young adult with a fractured pelvis.
- C. An elderly client awaiting a hip replacement.
- D. A 41-year-old client admitted for outpatient tonsillectomy.
Correct Answer: C
Rationale: The correct answer is C because an elderly client awaiting a hip replacement typically requires ongoing support and coordination of services, making them a good candidate for case management. This client would benefit from assistance with navigating the healthcare system, coordinating appointments, and ensuring continuity of care post-surgery.
Choice A is incorrect as the adolescent with a gunshot wound in the ER is likely to be in need of immediate medical intervention rather than case management. Choice B is incorrect as a young adult with a fractured pelvis may require medical treatment but may not necessarily need the level of ongoing support that case management provides. Choice D is incorrect as a 41-year-old client admitted for an outpatient tonsillectomy is a relatively straightforward procedure that may not require extensive case management services.
Recent polls have placed nursing as one of the most trusted professions because of which of the following?
- A. Nurses engage in lifelong learning.
- B. Nurses abide by a dress code.
- C. Nurses have the skills needed to care for diverse populations.
- D. Nurses must pass the NCLEX in order to obtain a license to practice.
Correct Answer: C
Rationale: The correct answer is C because nurses having the skills to care for diverse populations is a crucial factor in earning trust. Nursing involves providing care to individuals from various backgrounds, cultures, and beliefs. Nurses who possess the skills to understand and cater to the unique needs of diverse populations build trust by ensuring culturally sensitive and competent care. This answer aligns with the essence of nursing, which emphasizes holistic care for all individuals regardless of their differences.
A: While lifelong learning is important in nursing, it is not the primary reason why nursing is one of the most trusted professions.
B: Abiding by a dress code is a professional expectation but not a significant factor in establishing trust with patients.
D: Passing the NCLEX is a requirement for licensure but does not directly correlate with the trustworthiness of nurses in caring for diverse populations.
What is the main focus of a clinical governance framework?
- A. Financial performance
- B. Regulatory compliance
- C. Patient care quality
- D. Staff satisfaction
Correct Answer: C
Rationale: The main focus of a clinical governance framework is patient care quality. This is because clinical governance aims to ensure that healthcare services provided are safe, effective, and of high quality. By focusing on patient care quality, healthcare organizations can improve outcomes and patient satisfaction. Financial performance (A) is important but not the main focus. Regulatory compliance (B) is necessary but not the primary goal. Staff satisfaction (D) is important for a positive work environment, but it is not the main focus of a clinical governance framework.