A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?
Patient Protection and Affordable Care Act
American With Disabilities Act
Patient Self-Determination Act
Health Insurance Portability and Accountability Act
The Correct Answer is D
A. Patient Protection and Affordable Care Act: This act primarily focuses on improving healthcare access, quality, and affordability. It does not specifically address the confidentiality of client information or the inappropriate sharing of patient data.
B. American With Disabilities Act: This act protects individuals with disabilities from discrimination. While it’s important in healthcare, it does not directly relate to the confidentiality of client information.
C. Patient Self-Determination Act: This act requires healthcare providers to inform patients of their rights regarding advance directives. It does not pertain to the confidentiality of client care information shared among staff members.
D. Health Insurance Portability and Accountability Act (HIPAA): HIPAA protects patient privacy by regulating the confidentiality of healthcare information. Discussing a client’s care in a public space, such as an elevator, without the client’s consent violates HIPAA’s privacy rules, which protect the client's health information from unauthorized disclosure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Stroking the lower abdomen: While this may sometimes stimulate the bladder, it is not the most effective technique for promoting urination. Techniques such as using warm water are more commonly recommended for stimulating urination.
B. Pouring warm water over the perineum: Pouring warm water over the perineum can help relax the pelvic muscles and stimulate the urge to urinate. This method is often used to assist with the initiation of urination, especially after catheter removal.
C. Performing Kegel exercises prior to urination: Kegel exercises strengthen the pelvic floor muscles and can improve urinary control over time, but they are not effective for immediately stimulating urination, especially in the postoperative period.
D. Leaning backward when sitting and attempting to urinate: Leaning backward may make it more difficult to urinate as it puts pressure on the bladder. The best position for urination is sitting upright with the feet flat on the floor, which allows relaxation of the pelvic muscles.
Correct Answer is B
Explanation
A. Assess the client every hr for circulation, possible injury, and readiness for discontinuation: While regular assessment is necessary, it should be done more frequently than every hour. A check every 15-30 minutes is recommended for safety.
B. Check the client's peripheral pulses and skin integrity every 15 min: Frequent assessments of circulation, skin integrity, and injury help prevent complications like tissue damage or nerve impairment.
C. Assist the client with passive range of motion exercises every 3 hr: Passive range of motion exercises should be done more frequently than every 3 hours to prevent stiffness and joint contractures.
D. Attach the extremity restraint straps to the bed rails using a quick-release buckle: Restraints should never be attached to bed rails, as this increases injury risk. Straps should be secured to a stationary part of the bed frame.
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