A nurse is introducing newly licensed nurses to the roles of different team members on a medical-surgical unit. Which of the following tasks can certified nursing assistants (CNAs) help with?
Educating the client on diabetes mellitus
Ambulating
Using sterile procedure to insert a Foley catheter
Determining pain level
The Correct Answer is B
Choice A reason: Client education, especially regarding chronic conditions like diabetes mellitus, is a task reserved for licensed nurses due to the need for clinical judgment, individualized teaching, and assessment of understanding. CNAs are not trained or licensed to provide formal education.
Choice B reason: Ambulating patients is within the scope of practice for CNAs. They are trained to assist clients with mobility, including walking, transferring from bed to chair, and using assistive devices safely, which helps prevent complications such as falls and pressure injuries.
Choice C reason: Inserting a Foley catheter using sterile technique is an invasive procedure that requires licensure and competency in sterile technique. This task is typically performed by registered nurses or licensed practical nurses, not CNAs.
Choice D reason: Determining a client’s pain level involves assessment and interpretation, which are nursing responsibilities. CNAs may report observed signs of discomfort, but they do not perform formal pain assessments.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Secondary prevention focuses on early detection and prompt intervention to prevent progression of disease. Scheduling a mammogram for someone with a family history of breast cancer is a classic example of secondary prevention, as it aims to detect cancer early before symptoms arise.
Choice B reason: Not scheduling tests for an asymptomatic client contradicts the principles of secondary prevention, which often involves screening asymptomatic individuals to catch disease early.
Choice C reason: An echocardiogram for a client with known heart failure is part of tertiary prevention, which involves managing established disease to prevent complications and improve quality of life.
Choice D reason: Administering an influenza vaccine is an example of primary prevention, which aims to prevent disease before it occurs.
Correct Answer is B
Explanation
Choice A reason: Communication of client information at the nurses’ station is permissible under HIPAA as long as it is conducted in a manner that protects patient privacy. This includes avoiding loud conversations and ensuring unauthorized individuals are not present.
Choice B reason: HIPAA requires that each healthcare provider have a unique user ID and password for accessing electronic health records. Sharing a single password among nurses is a violation of HIPAA security standards and compromises accountability and data protection.
Choice C reason: Requiring family members to provide a code or password before receiving health information is a valid HIPAA-compliant practice. It ensures that only authorized individuals can access protected health information.
Choice D reason: Clients have the right under HIPAA to access and request copies of their medical records. This includes electronic and paper formats, and providers must respond to such requests within a designated timeframe.
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