The practical nurse (PN) is working with a newly hired PN on a medical surgical unit. Which action performed by the newly hired PN requires intervention by the PN?
Providing healthcare information by report to the client's physical therapist.
Informing clergy that a church member has been admitted to the facility.
Posting client names and healthcare providers on hospital room doors.
Requesting clients to sign their name on a roster at the front desk.
The Correct Answer is C
A. Providing healthcare information by report to the client's physical therapist: Sharing relevant medical information with members of the healthcare team involved in the client’s care is appropriate and complies with HIPAA regulations.
B. Informing clergy that a church member has been admitted to the facility: Many facilities allow disclosure to clergy with client consent or if the client has requested spiritual support. However, confidentiality must always be maintained, and identifying details should only be shared as permitted by policy.
C. Posting client names and healthcare providers on hospital room doors: Displaying personal health information publicly violates the client’s right to confidentiality under HIPAA. Such postings can expose sensitive details to unauthorized individuals and must be avoided to protect client privacy.
D. Requesting clients to sign their name on a roster at the front desk: This is generally acceptable for administrative purposes such as registration or appointment confirmation, as long as no medical details are visible to others. The practice should still ensure compliance with facility privacy standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Gravida 2, Para 1: Gravida refers to the total number of pregnancies a client has had, including the current one, so this client is gravida 2. Para refers to the number of pregnancies carried to viability (≥20 weeks), so having one previous child makes her para 1.
B. Gravida 2, Para 0: While the client is correctly identified as gravida 2, she has previously carried a pregnancy to viability, so para 0 is inaccurate.
C. Gravida 1, Para 1: Gravida 1 would indicate this is the client’s first pregnancy, which is inconsistent with her history of one prior child.
D. Gravida 1, Para 0: Both the gravida and para are incorrect because this is her second pregnancy and she has delivered one child previously.
Correct Answer is C
Explanation
A. An office manager whose mother has laryngeal cancer: Family history can increase risk slightly, but environmental and lifestyle factors, particularly smoking and heavy alcohol use, are stronger contributors to laryngeal cancer.
B. A farmer who smokes a half pack of cigarettes daily: Smoking increases risk, but the level of exposure is relatively low compared with heavy, long-term use combined with alcohol consumption.
C. An older male who drinks a six-pack of beer nightly and smokes heavily: Chronic heavy alcohol use combined with long-term heavy smoking significantly increases the risk of laryngeal cancer. This client exhibits multiple high-risk behaviors and should be prioritized for referral.
D. An opera singer who does not smoke but drinks a glass of wine each day: Moderate alcohol consumption without smoking or other risk factors represents a lower risk for laryngeal cancer compared with heavy alcohol use and smoking.
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