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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.
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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.
Documenting something that you did not actually do would be legally considered as what?
- A. Fraud
- B. Negligence
- C. Malpractice
- D. Battery
Correct Answer: A
Rationale: Falsifying documentation is considered fraud, as it misrepresents care provided.
A nurse failed to lock the brakes on a wheelchair before transferring the patient from the bed to the wheelchair. The wheelchair rolled backward and the patient fell, causing several fractures. This nurse could be found guilty of
- A. False imprisonment.
- B. Malpractice and negligence.
- C. Assault.
- D. Battery.
Correct Answer: B
Rationale: Failure to follow safety protocols is negligence, and resulting harm constitutes malpractice.
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.
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.