Nokea
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.
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A 17-year-old girl would be considered an emancipated minor in which of the following situations or conditions?
- A. Marriage
- B. Has lived alone and supported herself for 15 months
- C. Is adopted and does not know where her birth parents are
- D. Has a court order stipulating she is independent of her parents
- E. Is in the U.S. Army
Correct Answer: A,B,D,E
Rationale: These conditions legally qualify a minor as emancipated, granting adult status.
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.
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.
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.
The law that contains both the Privacy Rule and the Security Rule is abbreviated as
- A. HIPAA
- B. OSHA
- C. ACA
- D. CLIA
Correct Answer: A
Rationale: HIPAA (Health Insurance Portability and Accountability Act) includes the Privacy Rule and Security Rule to protect patient information.