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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Statements provided by the patient's family are not a reliable defense against nursing negligence. While family statements can offer context, they may not always be accurate or objective. Legal defenses require concrete evidence and accurate documentation.

Choice B rationale:

Accurate documentation by the nurse is the best defense against allegations of nursing negligence. Thorough and precise documentation provides a clear account of the patient's condition, the care provided, and the patient's response. Proper documentation is essential for legal and ethical reasons and serves as a valuable defense in case of legal disputes.

Choice C rationale:

Testimony of other nurses may support the case but may not be as reliable as accurate documentation. Nurse testimony can be subjective and may vary, making it less robust as a defense compared to comprehensive and detailed documentation.

Choice D rationale:

Inclusion of expert witnesses can be helpful, but their testimony is most effective when combined with accurate documentation. Expert witnesses can provide specialized knowledge and opinions, but their credibility is enhanced when supported by thorough and precise nursing documentation.

A. Move the patient to the side of the bed. B. Place the patient's arm over the chest. C. Raise the bed to a proper working height. D. Turn the patient using the draw sheet.

Correct Answer is A

Explanation

Choice A rationale:

Moving the patient to the side of the bed is the first nursing action that should be implemented when assisting the patient to a lateral position for placement of a bedpan. This step ensures proper body mechanics and patient safety during the transfer. The nurse should assist the patient to the edge of the bed, farthest from them, and then help the patient turn onto their side, facing away from the nurse. This position facilitates the placement of the bedpan and maintains the patient's dignity and comfort.

Choice B rationale:

Placing the patient's arm over the chest is a subsequent step after moving the patient to the side of the bed. After the patient is in the lateral position, the nurse should assist in placing the uppermost arm comfortably over the chest to maintain balance and stability during the bedpan placement.

Choice C rationale:

Raising the bed to a proper working height is essential for the nurse's ergonomic safety and comfort during the procedure. However, it is not the first step in assisting the patient to a lateral position. The bed should be at a height that allows the nurse to work comfortably without straining their back, but this step comes after the patient has been safely positioned on their side.

Choice D rationale:

Turning the patient using the draw sheet is another appropriate technique for repositioning patients, especially when they are unable to assist with the movement. However, in this scenario, the nurse needs to assist the patient to a lateral position for the bedpan placement, which involves different techniques. Using a draw sheet might be necessary in other situations, such as when turning a bedridden patient in bed, but it is not the first action for placing a bedpan.

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The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurse is reviewing topics related to laws that apply to nursing care.The student nurse is correct in stating which one is the nurse's best defense if a patient alleges nursing negligence?

Correct Answer is B

Explanation

Which nursing action should be implemented first when assisting the patient to a lateral position for placement of a bedpan?

Correct Answer is A

Explanation

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The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

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