A nurse is assisting with teaching a class about client advocacy. The nurse should include which of the following as an example of client advocacy?
A nurse protects a client’s personal health information.
A nurse keeps a promise to return to a client’s room.
A nurse accepts responsibility for their own actions.
A nurse communicates a client’s wishes to their provider.
The Correct Answer is D
Choice A reason: This statement is incorrect because protecting a client’s personal health information is not an example of client advocacy, but a legal and ethical obligation of the nurse. The nurse should follow the principles of confidentiality and privacy, and only share the client’s information with authorized persons or entities, or with the client’s consent.
Choice B reason: This statement is incorrect because keeping a promise to return to a client’s room is not an example of client advocacy, but a professional and courteous behavior of the nurse. The nurse should be honest, reliable, and respectful to the client, and follow through with their commitments and expectations.
Choice C reason: This statement is incorrect because accepting responsibility for their own actions is not an example of client advocacy, but a personal and professional accountability of the nurse. The nurse should be aware of their scope of practice, standards of care, and code of ethics, and act accordingly. The nurse should also admit their mistakes, report errors, and seek help when needed.
Choice D reason: This statement is correct because communicating a client’s wishes to their provider is an example of client advocacy. The nurse should act as a liaison between the client and the provider, and ensure that the client’s needs, preferences, and values are respected and considered in the decision-making process. The nurse should also support the client’s right to self-determination and informed consent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement is false and should not be included in the teaching. The Enforcement Rule does not address the use and disclosure of ePHI, which stands for electronic protected health information. The use and disclosure of ePHI is addressed by the Privacy Rule and the Security Rule, which are part of the HIPAA Administrative Simplification Rules.
Choice B reason: This statement is false and should not be included in the teaching. The Enforcement Rule does not cover the process of reporting data breaches, which are unauthorized or unlawful access, use, or disclosure of protected health information. The process of reporting data breaches is covered by the Breach Notification Rule, which is also part of the HIPAA Administrative Simplification Rules.
Choice C reason:This statement is false and should not be included in the teaching.The definition of protected health information (PHI) is outlined in the HIPAA Privacy Rule, not the Enforcement Rule. PHI includes any information about health status, provision of healthcare, or payment for healthcare that can be linked to an individual, whether in electronic, paper, or oral form. The Privacy Rule defines PHI and ePHI explicitly to establish what needs to be protected under HIPAA regulations. The Enforcement Rule does not define PHI but instead deals with the penalties and compliance actions when HIPAA rules, such as those defined in the Privacy or Security Rules, are violated.
Choice D reason:This statement is true and should be included in the teaching. The HIPAA Enforcement Rule explicitly covers the administration of financial penalties for violations of HIPAA regulations. It outlines the processes by which the Department of Health and Human Services (HHS) investigates potential violations, determines compliance failures, and imposes civil monetary penalties when necessary. The Enforcement Rule also establishes the structure of penalties based on factors such as the severity of the violation, whether the violation was willful or accidental, and whether corrective actions were taken promptly. This ensures accountability and compliance with HIPAA standards, making this the correct answer to the question.
Correct Answer is C
Explanation
Choice A reason: Providing competencies for the nurses to achieve before licensure is not a description of standards of practice, but rather a function of the nursing education and accreditation system. Standards of practice are authoritative statements that define the expected level of performance for nurses after they obtain their license.
Choice B reason: Establishing a protocol for care to provide for a specific health problem is not a description of standards of practice, but rather a function of the clinical practice guidelines and evidence based practice. Standards of practice are broader and more general statements that apply to all nurses regardless of their specialty or setting.
Choice C reason: Specifying that nurses provide care that reflects current and competent level of behavior when providing client care is a description of standards of practice, as it captures the essence of what standards of practice are and why they are important. Standards of practice are based on the best available evidence and professional consensus, and they guide nurses in delivering safe, quality, and ethical care to their clients.
Choice D reason: Listing a set of skills that all nurses should be competent in performing, outlining responsibilities that every nurse is expected to provide regardless of their role is not a description of standards of practice, but rather a function of the scope of practice. Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake, in keeping with the terms of their professional license..
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