A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

"Describe the place where you are currently living."

"Apply moisture barrier ointment three times a day."

"A social worker can help you with the cost of supplies."

"Eat a balanced diet with high-protein snacks."

Answer and Explanation

The Correct Answer is A

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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Correct Answer is C

Explanation

Choice A reason: Assembling an emergency disaster response team is not the first action to take when developing a disaster-preparedness plan. The nurse should first assess the community's needs and resources before forming a team.

Choice B reason: Evaluating the effectiveness of local disaster-preparedness drills is not the first action to take when developing a disaster-preparedness plan. The nurse should first identify the potential hazards and vulnerabilities of the community before conducting or reviewing any drills.

Choice C reason: Identifying the community's risks and capabilities is the first action to take when developing a disaster-preparedness plan. The nurse should perform a comprehensive assessment of the community's strengths, weaknesses, opportunities, and threats (SWOT) related to disaster management.

Choice D reason: Providing education about first aid and triage is not the first action to take when developing a disaster-preparedness plan. The nurse should first determine the learning needs and preferences of the community before designing and implementing any educational programs.

A. "We should share our computer passwords with our manager." B. "HIPAA rules allow clients to receive a copy of their medical records." C. "HIPAA rules vary from state to state." D. "A client's diagnosis can be posted on the communication board inside the client's room."

Correct Answer is B

Explanation

Choice A reason: Sharing computer passwords with a manager is against HIPAA regulations, which emphasize individual access controls to protect client information.

Choice B reason: HIPAA gives clients the right to access their medical records, reflecting an understanding of the regulation's intent to empower patients with information about their health.

Choice C reason: HIPAA is a federal law, and while states can have additional privacy laws, HIPAA itself does not vary from state to state.

Choice D reason: Posting a client's diagnosis in a public area like a communication board is a clear violation of HIPAA, which requires maintaining the confidentiality of health information.

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A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is developing a disaster-preparedness plan. Which of the following actions should the nurse take first when developing the plan?

Correct Answer is C

Explanation

A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

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