A nurse overhears assistive personnel (AP) in the cafeteria discussing a client's diagnosis of anorexia nervosa.
The nurse should inform the AP that they have breached which of the following legal acts?

Health Insurance Portability and Accountability Act.

Good Samaritan Act.

Occupational Safety and Health Act.

Patient Protection and Affordable Care Act.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy and security of individuals' health information. Discussing a client's diagnosis in a public place like the cafeteria with someone not involved in their care constitutes a breach of confidentiality under HIPAA.

Choice B rationale

The Good Samaritan Act offers legal protection to individuals who provide assistance in an emergency situation. It is not relevant to the discussion of a client's private health information by healthcare personnel in a non-emergency setting.

Choice C rationale

The Occupational Safety and Health Act (OSHA) ensures safe and healthful working conditions for employees. It does not pertain to the confidentiality of patient health information.

Choice D rationale

The Patient Protection and Affordable Care Act aims to increase the quality and affordability of health insurance, expand public and private insurance coverage, and reduce the costs of healthcare. It does not directly address the confidentiality of patient information in the context described. .

NGN NGN NGN

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Correct Answer is B

Explanation

Choice A rationale

Clang associations involve the meaningless rhyming of words, often seen in psychotic disorders. While this indicates a disturbance in thought processes, it does not pose an immediate threat to the client or others, making it a lower priority compared to potential harm.

Choice B rationale

Command hallucinations are auditory hallucinations that instruct the client to perform an action, which can be harmful to themselves or others. This requires immediate attention and assessment to ensure the client's safety and the safety of those around them.

Choice C rationale

Neologisms are newly coined words or phrases whose meaning is only understood by the client. This reflects disorganized thinking but does not indicate an immediate crisis or safety risk, making it a less urgent concern than command hallucinations.

Choice D rationale

Ideas of reference are false beliefs that irrelevant occurrences or details in the world directly relate to oneself. While these can cause distress, they do not typically involve an immediate risk of harm, making this a lower priority compared to command hallucinations.

A. "I just need a couple of hours of sleep each night.”. B. "Remembering where I put things has become difficult.”. C. "I won't eat because I know that the food has been poisoned.”. D. "Counting stairs helps me feel more in control.”.

Correct Answer is C

Explanation

Choice A rationale

A need for only a couple of hours of sleep each night could suggest mania, a symptom associated with bipolar disorder, rather than schizophrenia. Individuals with schizophrenia often experience sleep disturbances, but this specific statement is more indicative of a manic episode.

Choice B rationale

Difficulty remembering where things are placed can be a symptom of various conditions, including normal aging, stress, depression, or cognitive impairments. While cognitive deficits can occur in schizophrenia, this statement alone is not a strong indicator of the disorder's core features.

Choice C rationale

The statement "I won't eat because I know that the food has been poisoned" is a paranoid delusion, a positive symptom commonly seen in schizophrenia. Delusions are fixed, false beliefs that are not based in reality and are a hallmark feature of psychotic disorders like schizophrenia.

Choice D rationale

Counting stairs to feel more in control could be a mild compulsion or a coping mechanism for anxiety. While anxiety can co-occur with schizophrenia, this behavior itself is not a primary diagnostic criterion for the disorder.

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A nurse overhears assistive personnel (AP) in the cafeteria discussing a client's diagnosis of anorexia nervosa.The nurse should inform the AP that they have breached which of the following legal acts?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is C

Explanation

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A nurse overhears assistive personnel (AP) in the cafeteria discussing a client's diagnosis of anorexia nervosa.
The nurse should inform the AP that they have breached which of the following legal acts?