Nokea
What does the 'B' in the SBAR acronym stand for?
- A. Background
- B. Basic
- C. Beginning
- D. Break
Correct Answer: A
Rationale: The correct answer is A: Background. In the SBAR communication technique used in healthcare, the 'B' stands for Background, which involves providing relevant information about the patient's history, current situation, and any other contextual details. This step helps to give a comprehensive understanding of the patient's condition to ensure effective communication between healthcare providers. The other choices (B: Basic, C: Beginning, D: Break) are incorrect as they do not accurately represent the purpose of the 'B' in the SBAR acronym.
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What is involved in obtaining informed consent?
- A. An explanation of the reasons for the procedure
- B. A signature on a form indicating the client agrees to the procedure
- C. A statement affirming liability if complications arise during the procedure
- D. Both A and C
Correct Answer: A
Rationale: The correct answer is A because obtaining informed consent involves providing the client with an explanation of the reasons for the procedure. This ensures that the client understands the purpose, risks, benefits, and alternatives of the procedure before giving consent. Choice B is incorrect because a signature on a form alone does not guarantee informed consent. Choice C is incorrect as affirming liability is not a necessary component of obtaining informed consent. Choice D is incorrect as it combines an essential element (A) with an incorrect element (C).
A nurse is performing an end-of-shift count of narcotics kept in the locked cabinet. The narcotic log states there should be 26 oxycodone pills left, but there are only 24 in the drawer. What is the first action of the nurse?
- A. Perform the count again
- B. Contact the pharmacy to determine if the narcotic log is incorrect
- C. Check with the last nurse to sign out narcotics from the system
- D. Notify the house supervisor that narcotic medications are missing
Correct Answer: A
Rationale: The correct answer is A: Perform the count again. The nurse should double-check the count to ensure accuracy before taking further action. Performing the count again helps to rule out any possible errors in the initial count. This step ensures that the discrepancy is not due to a simple mistake or oversight. Contacting the pharmacy (B), checking with the last nurse who signed out narcotics (C), or notifying the house supervisor (D) should be done after confirming the discrepancy through a recount. The first action should always be to verify the count internally before involving external parties or escalating the issue.
According to HIPAA, which of the following is considered an individual right for privacy of a client's protected health information?
- A. The right to receive a copy of the organization's privacy practices
- B. The right to receive medical bills for care received
- C. The right to change personal health information
- D. An understanding that protected health information will only be used in regards to client treatments
Correct Answer: A
Rationale: The correct answer is A: The right to receive a copy of the organization's privacy practices. This is because under HIPAA, individuals have the right to be informed about how their protected health information is being used and disclosed. Providing clients with a copy of the organization's privacy practices ensures transparency and empowers them to understand their rights regarding their health information.
Choices B, C, and D are incorrect:
B: The right to receive medical bills for care received - This is not a specific right related to privacy of protected health information under HIPAA.
C: The right to change personal health information - Individuals have the right to request amendments to their health information, but this is not directly related to privacy rights.
D: An understanding that protected health information will only be used in regards to client treatments - While this is an important principle under HIPAA, it does not specifically address individual rights related to privacy practices.
A client is refusing to undergo any more treatments in the hospital and wants to leave against medical advice. When the nurse requests the client to sign an AMA order, the client refuses and leaves. What is the next action of the nurse?
- A. Call security to hold the client until he signs the order
- B. Notify the physician to convince the client to stay
- C. Speak with the client's spouse to persuade him to stay
- D. Allow the client to leave and document the refusal in his chart
Correct Answer: D
Rationale: The correct answer is D: Allow the client to leave and document the refusal in his chart. This is the appropriate action because every individual has the right to refuse medical treatment, even if it is against medical advice. By allowing the client to leave and documenting the refusal in the chart, the nurse respects the client's autonomy and ensures legal and ethical considerations are met. Calling security to hold the client (choice A) would violate the client's rights. Notifying the physician to convince the client (choice B) may not be effective and goes against the client's autonomy. Speaking with the client's spouse (choice C) is irrelevant as the decision lies with the client.
A nurse is asked to perform a task that she believes is outside her scope of practice. What is the appropriate response to this issue?
- A. Contact the state board of nursing licensure to report the offense
- B. Review the state scope of practice standards for nurses
- C. Ask another nurse to perform the task to learn the procedure
- D. Contact the house supervisor to make the decision on whether the nurse should perform the task
Correct Answer: B
Rationale: The correct answer is B: Review the state scope of practice standards for nurses. This is the appropriate response as it allows the nurse to understand her legal boundaries and responsibilities. By reviewing the state scope of practice standards, the nurse can ensure she is acting within the limits of her licensure and avoid potential legal or ethical issues.
Choice A is incorrect because reporting the offense to the state board of nursing licensure should not be the initial response without first verifying the scope of practice standards. Choice C is incorrect as it does not address the issue of the nurse operating outside her scope of practice. Choice D is incorrect as the house supervisor may not have the necessary knowledge of the nurse's scope of practice.