A nurse is reinforcing teaching about confidentiality with a client. Which of the following statements should the nurse include in the teaching?
"Your nurse will provide information about the risks and benefits of surgical procedures."
"Only health care staff providing care will see your medical record."
"The provider must grant you access to your personal health information."
"You have to authorize our providers to prescribe treatments for your condition."
The Correct Answer is B
A. "Your nurse will provide information about the risks and benefits of surgical procedures.": This statement relates to informed consent and patient education rather than confidentiality. While important for care, it does not address the privacy of the client’s medical information.
B. "Only health care staff providing care will see your medical record.": Confidentiality ensures that a client’s personal health information is protected and only accessed by authorized personnel involved in their care. Emphasizing this reassures the client that their information is safeguarded and not shared inappropriately.
C. "The provider must grant you access to your personal health information.": Clients have a legal right to access their own medical records without requiring provider permission, according to HIPAA regulations. Denying access misrepresents patient rights.
D. "You have to authorize our providers to prescribe treatments for your condition.": Authorization to prescribe treatment is part of consent and care planning, not confidentiality. This statement does not inform the client about how their personal health information is protected or shared.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Notify the primary care provider of the results: Notifying the provider is important for persistent hypoxemia, but the nurse should first ensure the reading is accurate. Immediate action should confirm whether the low saturation reflects true hypoxemia or a measurement error.
B. Document the finding in the medical record: Documentation is part of standard care, but it does not address the potential acute hypoxemia. Recording should occur after verifying the reading and initiating appropriate interventions if needed.
C. Repeat the test on another finger: Pulse oximeter readings can be affected by poor perfusion, nail polish, cold extremities, or device malfunction. Repeating the test on a different finger or site helps confirm the accuracy of the measurement before taking further clinical actions.
D. Consult the respiratory therapist: Referral to a respiratory therapist may be indicated if hypoxemia persists, but it is not the first action. The nurse must first verify the accuracy of the SpO2 reading to determine whether urgent intervention is necessary.
Correct Answer is C
Explanation
A. Infant bassinets should be positioned 24 in (2 feet) apart: To reduce the risk of cross-contamination and droplet transmission, infant bassinets should be spaced at least 3 feet (approximately 91 cm) apart. Positioning them only 2 feet apart does not provide adequate protection against respiratory droplet spread.
B. Staff should avoid using alcohol-based hand rubs to perform hand hygiene: Alcohol-based hand rubs are recommended and effective for routine hand hygiene when hands are not visibly soiled. They reduce bacterial load quickly, are convenient, and are endorsed by the CDC as part of standard infection control practices in maternal-newborn units.
C. Visitors who have an upper respiratory infection should wear a mask: Wearing a mask helps prevent transmission of respiratory pathogens to newborns, who are highly susceptible to infections. Requiring symptomatic visitors to use masks is an essential infection control measure to protect vulnerable infants in the unit.
D. Pumped breastmilk can be left at room temperature for 6 hr: According to CDC and AAP guidelines, freshly expressed breast milk can be safely stored at room temperature (up to 77°F or 25°C) for no more than 4 hours. Leaving it for 6 hours increases the risk of bacterial growth and infection.
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