A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?

Patient Protection and Affordable Care Act

American With Disabilities Act

Patient Self-Determination Act

Health Insurance Portability and Accountability Act

Answer and Explanation

The Correct Answer is D

A. Patient Protection and Affordable Care Act: This act primarily focuses on improving healthcare access, quality, and affordability. It does not specifically address the confidentiality of client information or the inappropriate sharing of patient data.

B. American With Disabilities Act: This act protects individuals with disabilities from discrimination. While it’s important in healthcare, it does not directly relate to the confidentiality of client information.

C. Patient Self-Determination Act: This act requires healthcare providers to inform patients of their rights regarding advance directives. It does not pertain to the confidentiality of client care information shared among staff members.

D. Health Insurance Portability and Accountability Act (HIPAA): HIPAA protects patient privacy by regulating the confidentiality of healthcare information. Discussing a client’s care in a public space, such as an elevator, without the client’s consent violates HIPAA’s privacy rules, which protect the client's health information from unauthorized disclosure.

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Correct Answer is A

Explanation

A. Apply a moisture barrier ointment to the area in contact with urine: Applying a moisture barrier ointment is an essential intervention to protect the skin from moisture-related irritation and breakdown. This helps prevent skin damage from prolonged exposure to urine.

B. Assist with toileting every 4 hr while awake: While regular toileting is important for managing urinary incontinence, the client should be encouraged to use the bathroom based on individual needs. Toileting every 4 hours may not meet the client’s needs for more frequent voiding.

C. Instruct the client to consume fluids between 0600 and 2200: Limiting fluid intake to specific hours is not recommended unless there is a medical need. Adequate hydration is essential, and restricting fluid intake could lead to dehydration or urinary tract infections.

D. Cleanse the skin with antibacterial soap and hot water after each incontinence episode: Antibacterial soap and hot water can be too harsh on the skin, potentially leading to dryness and irritation. It’s better to use mild soap and warm water to cleanse the skin gently.

A. Place the client in a supine position. B. Attach the straps to the side rails of the bed frame. C. Secure the straps with a square knot. D. Remove the restraints every 2 hr.

Correct Answer is D

Explanation

A. Place the client in a supine position: The position should prioritize the client’s safety and comfort, considering their condition and the risk of aspiration or discomfort. A supine position may not be the most appropriate for this client’s agitation or confusion.

B. Attach the straps to the side rails of the bed frame: Attaching the restraints to the side rails could be dangerous, as it may cause injury or further agitation. Restraints should be attached to a non-movable part of the bed to ensure the client’s safety and prevent injury due to entrapment.

C. Secure the straps with a square knot: Restraints should not be secured with a square knot, as this could make them difficult to release quickly in an emergency. Instead, the restraint should be fastened in a way that allows for quick removal when needed to ensure the client's safety.

D. Remove the restraints every 2 hr: It is essential to remove restraints at least every 2 hours to check for any signs of injury, provide comfort, and ensure circulation. Removing restraints allows for proper skin care and reduces the risk of complications like pressure ulcers.

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A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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