Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?

HIPAA rules vary from state to state.

A client’s diagnosis can be posted on the communication board inside the client’s room.

We should share our computer passwords with our manager.

HIPAA rules allow clients to receive a copy of their medical records.

Answer and Explanation

The Correct Answer is D

Choice A rationale

HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.

Choice B rationale

A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.

Choice C rationale

Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.

Choice D rationale

HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.

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Correct Answer is B

Explanation

Choice A rationale

Asking the client to describe how they are feeling today is an important part of the assessment. However, when dealing with a client who is managing depression, the nurse’s first priority should be to ensure the safety of the client.

Choice B rationale

Asking if the client is having any thoughts about hurting themselves is the first question the nurse should ask. This is because safety is always the top priority, and clients dealing with depression may be at risk for self-harm or suicide.

Choice C rationale

While it’s important to understand what makes the client feel less depressed, this question is not as immediately critical as assessing for potential self-harm or suicide risk.

Choice D rationale

Understanding the client’s support system is an important part of the assessment, but it is not the first priority. The nurse’s initial focus should be on assessing the client’s immediate safety and mental health status.

A. Turn the patient every 4 hours. B. Elevate the head of the patient’s bed. C. Offer the patient ice chips. D. Provide oral care to the patient every 6 hours.

Correct Answer is B

Explanation

The correct answer is Choice B

Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.

Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.

Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.

Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort

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Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community health clinic is conducting an assessment of a client who has two preschool-aged children, has recently gone through a divorce, and is seeking help for managing depression.Which of the followingQuestions should the nurse ask first?

Correct Answer is B

Explanation

A hospice nurse is planning care for a patient who is near death. Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

Correct Answer is B

Explanation

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