Which of the following actions is specific to the Health Information Technology for Economic and Clinical Health (HITECH) Act?
The nurse assures that no protected health information is posted on social media.
Unlicensed assistive personnel close all paper charts when not in use.
The unit secretary verifies patient information prior to delivering mail.
The nurse requests a specific password prior to meeting with patient family members.
The Correct Answer is A
Choice A rationale
The HITECH Act established a regulatory framework for EHRs that imposed security and privacy requirements not only on medical providers, but also on other companies and organizations they did business with that might also handle EHR data. This includes ensuring that no protected health information is posted on social media.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Insertion of a urinary catheter is a direct care intervention. It involves direct personal contact with the patient.
Choice B rationale
Reviewing discharge instructions with the client is also a direct care intervention. It involves direct personal contact with the patient.
Choice C rationale
Performing routine oral care is a direct care intervention. It involves direct personal contact with the patient.
Choice D rationale
Documentation of IV insertion is an example of an indirect care intervention. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient. Examples of indirect care interventions are attending care conferences, documenting, and communicating about patient care with other providers.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.
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