A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?

Provide advice to a client over the telephone.

Insert an NG tube for a client.

Teach a client how to walk on crutches.

Perform a simple dressing change for a client.

Answer and Explanation

The Correct Answer is D

A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.

B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.

C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.

D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.

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Correct Answer is C

Explanation

A. Refusing to speak to parents could indicate normal adolescent behavior, stress, or other reasons unrelated to maltreatment. It does not immediately raise suspicion of abuse.

B. Regression in toilet training is a common reaction to hospitalization or stress, particularly in young children, and does not necessarily suggest maltreatment.

C. A toddler crying whenever a parent enters the examination room is concerning for maltreatment, as it could indicate fear or discomfort around the parent, which is a red flag for potential abuse.

D. Abrasions on a school-age child’s legs could be consistent with normal childhood activities, such as playing or falling, and alone do not suggest maltreatment without other indicators.

A. "HIPAA allows facility-specific coding of client health care information to ensure privacy." B. "Clients who participate in research studies forfeit their HIPAA right to privacy." C. "HIPAA allows clients to request a review of their own medical records." D. "HIPAA prohibits the uploading of photographs of clients' providers to social media sites."

Correct Answer is C

Explanation

A. HIPAA does not specifically allow facility-specific coding of client health information; it mandates strict regulations regarding the privacy and security of patient information.

B. Clients participating in research studies do not forfeit their HIPAA rights; they retain the right to privacy and must be informed about how their information will be used.

C. HIPAA does allow clients to request a review of their medical records, which is a fundamental right under the law, promoting transparency and access to personal health information.

D. While HIPAA does protect client information, the statement incorrectly focuses on providers' photographs rather than client privacy and confidentiality; both are protected under HIPAA regulations.

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A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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