A nurse is reviewing information about the Health Insurance and Portability Act (HIPPA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

"A client address would be an example of personally identifiable information"

"HIPPA is a federal law, not a state law."

"Information about a client can be disclosed to family members at any time."

"HIPPA established regulations of individually identifiable health information in verbal, electronic, or written form"

Answer and Explanation

The Correct Answer is C

A.   A client's address is indeed considered personally identifiable information (PII) under HIPAA, which protects an individual's health information that can be used to identify them.
B.   This statement is true. HIPAA is a federal law that sets standards for the protection of health information. However, state laws can provide additional protections but cannot be less stringent than HIPAA.
C.   This statement indicates a need for further teaching. Under HIPAA, health information can only be disclosed to family members if the client has given consent or if it is in the best interest of the client (such as in emergencies). Without patient authorization, healthcare providers cannot disclose information freely.
D.   This statement is accurate. HIPAA indeed regulates how individually identifiable health information is managed and protected, regardless of the format in which it is stored or communicated (verbal, electronic, or written).

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Correct Answer is D

Explanation

A. Libel refers to the written defamation of someone's character, which is not applicable here. The nurse leaving early does not involve any defamatory statements or written content.
B. Battery involves the intentional and unlawful physical contact with another person without consent. The nurse leaving early does not constitute physical harm or unwanted contact with patients or colleagues.
C. Slander refers to the spoken defamation of someone's character. Similar to libel, this term does not apply to the nurse’s action of leaving early, as it does not involve making false statements about someone.
D. Negligence in nursing refers to a failure to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. By leaving her shift early without notifying the charge nurse, the nurse may be failing to ensure continuity of care for her patients, even if they are stable.

A. The nurse is likely not liable because surgery is beyond the nurse's scope of practice. B. The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form. C. The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team. D. The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery

Correct Answer is B

Explanation

A. While it’s true that surgery itself is beyond the nurse's scope of practice, liability can still arise from the actions taken in relation to the consent process. The issue is not about the surgery itself but about the responsibility associated with witnessing the consent.
B. The nurse’s role in this context is to witness the client’s signature, not to guarantee the client’s understanding of the procedure or the risks involved. The witness signature generally indicates that the nurse observed the client signing the document but does not imply that the nurse ensured the client understood all aspects of the surgery.
C. Cosigning a consent form does not make the nurse an equal member of the surgical team in terms of decision-making or responsibilities. The nurse's role as a witness is limited to observing the signing process.
D. The nurse’s signature does not imply that they confirmed the client's understanding of the risks involved. The responsibility for explaining the risks and ensuring the client’s understanding typically falls to the physician or surgeon.

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A nurse is reviewing information about the Health Insurance and Portability Act (HIPPA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The clients in the nurse's assignment are stable. Which of the following legal terms applies to this situation?

Correct Answer is D

Explanation

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.

Correct Answer is B

Explanation

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