A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic.
What action should the charge nurse take?
Obtain written authorization from clients to release the information.
Verify if permission has been obtained from the research committee.
Ask the student to sign a standard waiver form.
Provide the information for research purposes only.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.
Choice B rationale
While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.
Choice C rationale
Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.
Choice D rationale
Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation
The correct answer is C.
Choice A rationale
Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.
Choice B rationale
Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.
Choice C rationale
Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Choice D rationale
Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While a local shopping mall might attract a large number of people, it may not be the most effective location for a dental caries prevention program. The program would likely be more successful in a setting where children and their parents regularly go and feel comfortable discussing health-related topics.
Choice B rationale
Hospital emergency departments primarily deal with acute health issues. They may not be the most suitable setting for a preventive program focused on dental health, which is a long-term and ongoing concern.
Choice C rationale
The Women, Infants, and Children (WIC) office provides support to low-income women and young children, including nutrition education and healthy food. While this setting might reach a population that could benefit from a dental caries prevention program, it may not reach all children in the community.
Choice D rationale
A community youth center could be an effective location for a dental caries prevention program. These centers often provide a variety of programs for children and have the
infrastructure to support health education programs. They are also places where children and their parents are likely to feel comfortable and receptive to learning.
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