Nokea
Which health-care provider is identified as the patient's advocate?
- A. Nurse
- B. Physician
- C. Social worker
- D. Unit clerk
Correct Answer: A
Rationale: Nurses are often designated as patient advocates, ensuring patient needs and preferences are communicated.
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List FOUR necessary qualities for ethical patient care:
- A. Compassion
- B. Honesty
- C. Respect
- D. Competence
Correct Answer: A,B,C,D
Rationale: These qualities ensure care is patient-centered, truthful, respectful, and professionally executed.
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 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.
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.
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.