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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. The Emergency Medical Treatment and Active Labor Act requires that emergency care be provided regardless of the client’s behavior, as long as the client is seeking treatment for an emergency medical condition.

B. EMTALA requires that a client receive a medical screening and stabilization before being transferred, regardless of whether the condition is terminal. A terminal diagnosis does not justify transferring a client without stabilization first.

C. EMTALA prohibits discrimination based on a client’s ability to pay. A client cannot be transferred or discharged from an emergency department based on their inability to pay for services.

D. EMTALA requires that a client must be stabilized before being transferred to another facility. This ensures that the client is not placed at risk by the transfer, and the new facility is prepared to manage their care appropriately.

A. Have the client roll onto a transfer board and pull the board onto the stretcher. B. Move the client onto the stretcher using a slide board with the assistance of two health care workers. C. Apply a transfer belt to the client prior to transferring to the stretcher. D. Move the client's upper body onto the stretcher first.

Correct Answer is B

Explanation

A. Have the client roll onto a transfer board and pull the board onto the stretcher: Rolling the client onto a transfer board can be difficult and potentially dangerous, especially for an immobile client. It is safer to use a slide board with assistance to ensure the transfer.

B. Move the client onto the stretcher using a slide board with the assistance of two health care workers: A slide board, along with the assistance of two health care workers, ensures a safer and more controlled transfer of the immobile client, minimizes the risk of injury to both the client and the healthcare workers.

C. Apply a transfer belt to the client prior to transferring to the stretcher: A transfer belt is used for clients who are able to assist in the transfer, but it is not appropriate for immobile clients. Using a slide board with assistance is safer for transferring a client who is immobile.

D. Move the client's upper body onto the stretcher first: It is important to maintain a proper and safe method by transferring the entire body at once. Moving the upper body first could result in uneven weight distribution and increase the risk of injury during the transfer.

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A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an in-service for staff members about the Emergency Medical Treatment and Active Labor Act. Which of the following statements by a staff member indicates an understanding of this act?

Correct Answer is D

Explanation

A nurse is preparing to transfer a client who is immobile and weighs 104.3 kg (230 lb) from the bed to a stretcher. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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