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Which of the following best describes voluntary standards?
- A. Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing.
- B. Voluntary standards set requirements for licensure and nursing education.
- C. Voluntary standards meet criteria for recognition, specified area of practice.
- D. Voluntary standards determine violations for discipline and who may practice.
Correct Answer: A
Rationale: Voluntary standards, such as those from professional organizations, guide peer review and reflect public expectations but are not legally binding.
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A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the surgery?
- A. a relative
- B. the physician
- C. a nurse
- D. the patient
Correct Answer: D
Rationale: A competent adult patient must sign their own informed consent form to authorize surgery.
Which of the following nursing actions would be considered a violation of HIPPA regulations? Select all that apply.
- A. A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back.
- B. A nurse shoves a confused bedridden patient into bed after he made several attempts to get up.
- C. A nurse inadvertently administers the wrong dose of morphine to a patient in the ICU.
- D. A nurse uses a patients chart as a sample teaching case without changing the patients name.
- E. A nurse reports the condition of a patient to the patients employer.
- F. A nurse misrepresents herself to obtain a license to practice nursing.
Correct Answer: A,D,E
Rationale: A: Exposing a patient's body in public violates privacy. D: Using a patient's chart without de-identification breaches confidentiality. E: Sharing patient information with an employer violates HIPAA.
According to HIPPA regulations, which of the following is a patient right regarding the patients medical record? Select all that apply.
- A. to see the health record
- B. to copy the health record
- C. to make additions to the health record
- D. to cross out sections of the health record
- E. to restrict certain disclosures of the health record
- F. to destroy the health record
Correct Answer: A,B,E
Rationale: A: Patients can view their records. B: Patients can obtain copies. E: Patients can restrict certain disclosures under HIPAA.
A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply.
- A. Disclosure
- B. Organ donation
- C. DNR orders
- D. Comprehension
- E. Competence
- F. Voluntariness
Correct Answer: A,D,E,F
Rationale: A: Disclosure of risks and benefits. D: Patient understanding (comprehension). E: Patient's ability to consent (competence). F: Consent given freely (voluntariness).
A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next?
- A. administer the medication based on the order
- B. question the order for the medication
- C. refuse to administer the medication
- D. document concerns about the order
Correct Answer: B
Rationale: The nurse should question an abnormally high dose to ensure patient safety and clarify the order.