A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

“I should encrypt personal health information when sending emails”

“I can use another nurse’s password as long as I log off after using the computer”

“I should discard personal health information documents in the trash before leaving the unit

“I can post the client’s vitals sings in the client’s room”

Answer and Explanation

The Correct Answer is A

a.   Encrypting personal health information is a standard practice in maintaining confidentiality and security of client data, which aligns with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
b.   Using another nurse’s password is a breach of security protocols and could lead to unauthorized access to sensitive information.
c.   Discarding personal health information in the trash is a violation of client confidentiality and does not protect against potential breaches of privacy.
d.   Posting a client’s vital signs in their room could expose personal health information to others and is not a secure method of communication.

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Correct Answer is B

Explanation

a. It is not required to choose a family member as a health care proxy; the client has the right to choose any competent adult.
b. This is correct because a health care proxy is authorized to make medical decisions on the client's behalf if they are unable to do so themselves.
c. While it is advisable to have a health care proxy, it is not a requirement before undergoing an invasive procedure.
d. An attorney is not necessary to approve a health care proxy, although legal advice might be beneficial when drafting advance directives.

A. A client who has type 1 diabetes and uses an insulin pump B. A client who is receiving heparin and has an aPTT of 34 seconds C. A client who has orthostatic hypotension and is receiving IV fluids D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dl

Correct Answer is D

Explanation

a. Managing type 1 diabetes with an insulin pump may require coordination with the diabetic care team but doesn't necessarily warrant an interdisciplinary conference.
b. A therapeutic level of aPTT indicates effective anticoagulant therapy, which may require monitoring but typically does not necessitate an interdisciplinary conference.

c. Orthostatic hypotension and IV fluid therapy may require coordination among the nursing and medical teams, but an interdisciplinary conference is not typically indicated solely for this reason.
d. A client at risk for pressure ulcers with an albumin level of 4.2 g/dl suggests potential nutritional issues and tissue viability concerns, necessitating collaboration among various healthcare professionals for comprehensive care planning.

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A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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