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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 the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
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A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
- A. Autonomy N R I G B.C M U S N T O
- B. Fidelity
- C. Beneficence
- D. Accountability
Correct Answer: C
Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, which ultimately led to a negative outcome. Beneficence means to do good and act in the best interest of the patient. By giving false hope, the nurse failed to provide truthful information that could have prepared the patient for potential complications.
A: Autonomy - This choice is not the correct answer because autonomy refers to respecting the patient's right to make their own decisions, which was not directly violated in this scenario.
B: Fidelity - This choice is not the correct answer because fidelity refers to being faithful and keeping promises to the patient, which is not the primary issue in this case.
D: Accountability - This choice is not the correct answer because accountability refers to taking responsibility for one's actions, which the nurse may need to do in this situation, but it is not the primary ethical principle violated.
In summary, the nurse violated the ethical
Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?
- A. Situation, background, assessment, recommendation
- B. Situation, baseline, assessment, recommendation
- C. Subjective, background, analysis, recommendation
- D. Subjective, background, analysis, review
Correct Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, which is a communication technique for providing important information.
Which action would be inappropriate for the nurse to perform before beginning the health history interview?
- A. Smile and ask the client whether she has any special concerns.
- B. Speak in a relaxed manner with an even, nonjudgmental tone.
- C. Make the client comfortable.
- D. Tell the client her questions are irrelevant.
Correct Answer: D
Rationale: Telling the client that her questions are irrelevant is inappropriate. Nurses should make the client feel comfortable and respected.
A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
- A. Births to unmarried women are more likely to have less favorable outcomes.
- B. Birth rates for women 40 to 44 years of age are declining
- C. Cigarette smoking among pregnant women continues to increase.
- D. Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country.
Correct Answer: A
Rationale: LBW infants and preterm births are more likely because of the large number of teenagers in the unmarried group.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
- A. Gonorrhea
- B. Syphilis
- C. Chlamydia
- D. Candidiasis
Correct Answer: C
Rationale: Chlamydia is the most common and fastest spreading STI among American women, with an estimated 3 million new cases each year.