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Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
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According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.
Which individuals have a higher than average risk of homicide?
- A. 33-year-old woman who served 5 years in prison
- B. 20-year-old homeless man
- C. 28-year-old man with a history of bipolar disorder
- D. 24-year-old woman with a female partner
Correct Answer: B
Rationale: Homelessness and a history of violence place individuals at a significantly higher risk of homicide.
An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?
- A. Inform her of the health risks associated with being overweight
- B. Prepare her for the setbacks
- C. Develop a low-calorie/low-fat diet with her so she can follow it at home
- D. Praise her for her recent successes
Correct Answer: C
Rationale: In the preparation stage, the woman is ready to make changes, so providing tools like a low-calorie diet plan helps facilitate action.
A nurse assesses that the task of development of affection for and from others has been met or is in the process of being met by an infant. Which of the following observations has the nurse made?
- A. The infant smiles at mirror images.
- B. The infant makes cooing noises.
- C. The infant begins to smile socially.
- D. The infant likes to be picked up.
Correct Answer: D
Rationale: Infants who enjoy being picked up are displaying affection for others, which is an important developmental task.
During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: A
Rationale: Advocacy helps individuals access services they are entitled to, assisting them in navigating the healthcare system.