Nokea
Which type of hospital in the United States requires that you shred any notes that are written while caring for the patient before you leave the facility?
- A. Military hospital
- B. Private hospital
- C. Teaching hospital
- D. Public hospital
Correct Answer: A
Rationale: Military hospitals often have strict policies requiring shredding of notes to protect sensitive patient information.
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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.
In a court of law, there is a standard regarding documentation in patients' records. What is this standard and what does it mean?
- A. If it wasn't documented, it wasn't done
- B. Document only what you observe
- C. Document only what the patient reports
- D. Document only physician orders
Correct Answer: A
Rationale: This standard means that undocumented actions are assumed not to have occurred in legal proceedings.
What would be your legal responsibility regarding this information?
- A. Report suspected abuse to authorities
- B. Document findings and inform supervisor
- C. Discuss concerns with the mother
- D. Monitor the patient without reporting
Correct Answer: A,B
Rationale: Nurses are mandated reporters and must document and report suspected abuse to protect the patient.
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.
Which of the following nursing actions would be considered proactive prevention of lawsuits?
- A. Meeting your patient's needs
- B. Treating your patient with dignity
- C. Developing good nurse-patient rapport
- D. Keeping conversation with your patient to a minimum to reduce chances of offending the patient
- E. Explaining procedures and ensuring the patient's understanding before performing the procedure
Correct Answer: A,B,C,E
Rationale: These actions foster trust, respect, and clear communication, reducing the likelihood of misunderstandings or complaints that could lead to lawsuits.