The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.
The patient's nurse asks the patient if their neighbor, who is at the nurses station, can visit now.
The patient's nurse uses the facility computer to document the patient's bath and linen change.
A nurse looks at the chart of their neighbor so that the nurse can add them to the prayer list at church.
A nurse fails to log off the computer charting system after documenting patient care.
A nurse discusses a patient with a coworker in the elevator.
Correct Answer : C,D
Choice A rationale:
Asking a patient if their neighbor can visit is not a violation of HIPAA policy as it does not involve sharing sensitive patient information.
Choice B rationale:
Using the facility computer to document patient care is appropriate and not a violation of HIPAA policy, assuming the nurse is following proper security protocols.
Choice C rationale:
Looking at a neighbor's chart to add them to a prayer list at church is a clear violation of HIPAA policy. This action breaches patient confidentiality and compromises their privacy, which is essential under HIPAA regulations.
Choice D rationale:
Failing to log off the computer charting system after documenting patient care is also a violation of HIPAA policy. This can lead to unauthorized access and potential misuse of patient information, putting patient privacy at risk.
Choice E rationale:
Discussing a patient with a coworker in a public place like an elevator violates HIPAA policy. Even though the conversation is with a colleague, it is essential to protect patient information in all circumstances to maintain confidentiality and trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Assessing the strength of the lower extremities is one of the objectives of asking the patient to dorsiflex and plantarflex both feet against the nurse's hands. This action helps evaluate the muscle strength of the lower limbs, providing information about the patient's neuromuscular function.
Choice B rationale:
Assessing the patient's sense of balance is another objective of this action. Dorsiflexion and plantarflexion require coordination and balance. If the patient struggles to maintain balance while performing these movements, it could indicate issues with proprioception or neurological deficits.
Choice C rationale:
Assessing the presence of edema is not directly related to dorsiflexion and plantarflexion movements. Edema assessment typically involves inspecting and palpating specific areas of the body, such as the ankles, to check for swelling, discoloration, and pitting.
Choice D rationale:
Evaluating the range of motion of the ankle joint is a key aspect of asking the patient to dorsiflex and plantarflex both feet against the nurse's hands. This action allows the nurse to observe how far the patient can move their ankles, providing valuable information about joint flexibility and function.
Choice E rationale:
Assessing the status of the patient's skin turgor involves checking the skin's elasticity and hydration level, usually by pinching and observing how quickly the skin returns to its normal position. This assessment is unrelated to the dorsiflexion and plantarflexion movements and is not applicable in this context.
Correct Answer is C
Explanation
Choice A rationale:
Weight-bearing activities are not suitable for a patient with contractures, as they may worsen joint stiffness and discomfort. Engaging in weight-bearing activities could lead to further limitations in joint mobility and exacerbate the contractures.
Choice B rationale:
Exercises to strengthen flexor muscles might be beneficial in other contexts, but for a patient with contractures, the focus should be on improving joint mobility and preventing the contractures from worsening. Strengthening exercises do not directly address the issue of limited joint mobility caused by contractures.
Choice C rationale:
Range of motion exercises are essential for patients with contractures. These exercises involve moving joints through their full range of motion to maintain or improve joint flexibility. Regularly performing range of motion exercises prevents further tightening of muscles and joints, thereby preventing the worsening of contractures.
Choice D rationale:
Frequent position changes are important to prevent pressure ulcers and maintain overall comfort, but they do not specifically address the issue of contractures. While position changes are necessary, they are not the primary intervention for managing contractures.
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