Nokea
What about the patient's comments concerns you?
- A. Patient's expectation to get pregnant post-surgery
- B. Patient's anxiety about the surgery
- C. Patient's desire to fix stomach pain
- D. Patient's plan for three or four children
Correct Answer: A
Rationale: The patient is unaware of the potential hysterectomy, which would prevent pregnancy, indicating a lack of informed consent.
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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.
Can it still be considered breach of patient confidentiality if the patient information was accidentally overheard by a visitor sitting at the table behind you in the cafeteria?
- A. Yes
- B. No
Correct Answer: A
Rationale: Discussing patient information in a public setting, even unintentionally, can be a breach of confidentiality under HIPAA if overheard.
The LPN/LVN has delegated to the UAP the task of getting a patient out of bed for the first time after abdominal surgery. When the UAP enters the patient's room, he finds her very short of breath and complaining of chest pressure. According to the rights of delegation, which right does this fall under?
- A. Right task
- B. Right circumstance
- C. Right person
- D. Right direction
Correct Answer: B
Rationale: The right circumstance ensures the task is appropriate given the patient's condition, which has changed.
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 has changed to make this task no longer appropriate to delegate?
- A. Patient's condition has deteriorated
- B. UAP is not trained
- C. Task is too complex
- D. Patient refused
Correct Answer: A
Rationale: The patient's new symptoms (shortness of breath, chest pressure) indicate a change in condition, making delegation inappropriate.