Which of the following are examples of intentional unsafe acts in nursing? (Select All that Apply.)
Ignoring a patient's call for assistance
Disregarding hand hygiene protocols
Administering medication without proper verification
Accidentally administering blood through an 18 gauge IV catheter with insulin also infusing
Improperly documenting patient information
Correct Answer : A,B,C,E
Rationale:
A. Ignoring a patient's call for assistance is an intentional unsafe act because it represents a deliberate decision not to provide care, putting the patient at risk of falls, injury, or deterioration. This behavior demonstrates neglect and failure to fulfill the nurse’s duty to the patient, which can have serious ethical and legal implications.
B. Disregarding hand hygiene protocols is an intentional unsafe act because hand hygiene is a fundamental infection prevention measure. Choosing not to perform hand hygiene exposes patients to preventable healthcare-associated infections, showing a conscious disregard for safety standards and professional guidelines.
C. Administering medication without proper verification is intentional when the nurse knowingly bypasses safety checks, such as the five rights of medication administration (right patient, right drug, right dose, right route, right time). This increases the risk of adverse drug events and reflects a willful breach of safe practice standards.
D. Accidentally administering blood through an 18-gauge IV catheter while insulin is also infusing is unintentional. This constitutes a human error rather than a deliberate act. While it may be harmful, it is considered negligence or a system error, not intentional misconduct.
E. Improperly documenting patient information is an intentional unsafe act when it involves falsifying, omitting, or inaccurately recording patient data. Such documentation can mislead other healthcare providers, compromise care, and potentially result in patient harm. Intentional documentation errors are considered unethical and unsafe practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Use the formula
Volume (mL) = Desired dose ÷ Concentration per mL
Step 2: Insert values
Volume = 20 ÷ 10 = 2
Final Answer: 2 mL
Correct Answer is ["A","C","D","E","G"]
Explanation
Rationale:
A. Client's Social Security number is correct. Social Security numbers are unique identifiers linked to an individual and are considered PHI under HIPAA. Unauthorized disclosure could lead to identity theft, fraud, or privacy violations, making protection mandatory.
B. Medication brand name listed in a general hospital formulary is incorrect. A general formulary does not identify an individual patient; it is publicly available information about the medications stocked by a hospital. PHI must be individually identifiable, so generic medication lists without patient linkage are not protected.
C. Patient's medical record number is correct because it is a unique identifier directly linked to an individual patient. PHI includes any data that could allow someone to identify a patient, and medical record numbers meet this criterion.
D. Photographs taken during the patient's hospitalization are correct. Any image that could identify a patient, even if the patient’s face is partially visible or other unique features are shown, is considered PHI. These images must be safeguarded to prevent unauthorized disclosure.
E. Nurse's notes documenting the patient's diagnosis are correct. Clinical notes contain individually identifiable health information about the patient, including diagnoses, treatments, and observations. This documentation is PHI and must be secured and shared only with authorized personnel.
F. Public hospital directory listing patient names for visitors is incorrect. While the directory may include patient names, it does not include medical information, diagnoses, or treatment data. It is intended for visitor access and does not constitute PHI under HIPAA unless additional health-related identifiers are present.
G. Patient's assigned hospital room number is correct. Room numbers, when combined with other identifiers or in the context of a hospital setting, can be used to identify a specific patient, and therefore are considered PHI.
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