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 D

Explanation

Choice A rationale:

Permitting smoking in the home, even with low-flow oxygen, is highly dangerous and increases the risk of fire. Oxygen supports combustion, and any open flames, including smoking materials, can lead to a catastrophic fire. Therefore, this option is incorrect and unsafe.

Choice B rationale:

Placing the oxygen tank in direct sunlight is not advisable. Oxygen tanks should be stored in cool, well-ventilated areas away from direct sunlight, heat sources, and flammable materials. Storing the tank in direct sunlight can increase the pressure inside the tank, potentially leading to leaks or ruptures.

Choice C rationale:

Encouraging the patient to use electric razors is a safe practice when wearing oxygen. Electric razors eliminate the risk of open flames, reducing the potential for accidents. This option promotes patient safety and is a suitable instruction for patients using oxygen at home.

Choice D rationale:

Not using electrical equipment near the oxygen administration set is crucial for patient safety. Electrical equipment can generate sparks, posing a significant fire hazard in the presence of oxygen. Instructing patients to keep electrical devices away from oxygen supplies helps prevent accidents and ensures a safe home environment for patients requiring oxygen therapy.

A. Avoid assisting the patient to walk if they are restless. B. Discourage the family from staying with the patient. C. Move the patient to a room farther away from the nurses station. D. Ask the family what movies or music the patient would enjoy and offer them.

Correct Answer is D

Explanation

Choice A rationale:

Avoiding assisting a restless patient to walk does not address the issue of patient confusion and the risk of falling. Restless patients might need assistance, and refusing to help them walk could lead to further complications or falls.

Choice B rationale:

Discouraging the family from staying with the patient does not promote patient safety. Family members can provide additional support and supervision, reducing the risk of falls for a confused patient.

Choice C rationale:

Moving the patient farther away from the nurses' station does not address the patient's confusion or the risk of falling. It might even increase the response time in case of an emergency.

Choice D rationale:

Asking the family about the patient's preferences for movies or music and offering these activities is an appropriate way to engage the patient without resorting to restraints. Providing stimulating and enjoyable activities can help distract and calm the patient, reducing restlessness and the risk of falls.

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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 nurse is instructing a patient about safety with oxygen in the home setting.What would the nurse include in the instructions?

Correct Answer is D

Explanation

The nursing staff are caring for a confused patient who is at risk for falling.What action by the nurse would be appropriate in order to avoid restraining the patient?

Correct Answer is D

Explanation

What actions taken by a newly licensed nurse are appropriate when documenting on paper? Select all that apply.

The nurse is caring for several patients on a medical unit.Which patient does the nurse identify as being most at risk for falling?

A nurse has placed a patient in restraints and obtained doctor's orders for the restraint.Which action is appropriate for the nurse to conduct for a patient in restraints?

What interventions should the nurse include in the plan of care for a patient on fall precautions? Select all that apply.

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A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.The nurse provides an informational packet to the patient, and discusses the various care options available.The nurse is demonstrating which professional value?

What is the nursing priority when logrolling a patient?