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Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
- A. Administering a stronger dose of drug than was ordered
- B. Refusing to give a patient's daughter information over the phone
- C. Informing the patient's medical power of attorney of a medication change
- D. Leaving a copy of the patient's history and physical in the photocopier
Correct Answer: D
Rationale: Leaving the document in the photocopier could expose it to the public. Inappropriate drug administration is possible malpractice. Sharing information with the power of attorney is legal. Refusing to give a patient's daughter information over the phone is appropriate practice.
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When asked to perform a procedure that the nurse has never done before what should the nurse do to legally protect himself or herself?
- A. Go ahead and do it.
- B. Refuse to perform it citing lack of knowledge.
- C. Discuss it with the charge nurse asking for direction.
- D. Ask another nurse who has performed the procedure.
Correct Answer: C
Rationale: The nurse cannot use ignorance as an excuse for nonperformance. The nurse should ask for direction from the charge nurse, explaining she has never performed the procedure independently.
The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion what is the most appropriate action for the nurse to take?
- A. Ask for another assignment.
- B. Leave work.
- C. Transfer to another floor.
- D. Protest to the supervisor.
Correct Answer: A
Rationale: The nurse should not abandon the patient, but ask for another assignment.
How can the medical record be used in litigation?
- A. Public record
- B. Proof of adherence to standards
- C. Evidence of omission of care
- D. Documentation of time lapses
- E. Evidence by only the plaintiff
Correct Answer: A,B,C,D
Rationale: The information when used in court becomes a public record. The information can be used as proof of adherence to standards, omission of care, and documentation of time lapses. Both plaintiff and defendant can use the document.
What are the universal guidelines that define appropriate measures for all nursing interventions?
- A. Scope of practice
- B. Advocacy
- C. Standard of care
- D. Prudent practice
Correct Answer: C
Rationale: Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or issue on behalf of another. Prudent is a term that refers to careful and/or wise practice.
The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
- A. Compare values with those of the patient.
- B. Make a judgment.
- C. Withhold an opinion.
- D. Give advice.
Correct Answer: C
Rationale: The nurse can assist the patient in values clarification without giving an opinion.