The charge nurse is concerned that an HCP is breaching a patient's confidentiality. What did the charge nurse observe to come to this conclusion?

a. A physician asking a nurse if a friend has cancer
b. Use of patient initials on nurse's assignment worksheet
c. A nurse asking an unknown physician for identification
d. A nurse reviewing charts of assigned patients for orders


ANS: A
A. Nurses are obligated to discuss the patient only under circumstances in which it is necessary to deliver high-quality health care according to Health Insurance Portability and Accountability Act (HIPAA). B, C, and D are not breaches of confidentiality.

Nursing

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The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis. Which of the following responses indicates to the nurse that the medication is effective?

1) The amount of sputum the patient expectorates decreases with each dose administered. 2) Cough is completely suppressed, and she is able to sleep through the night. 3) Dry, unproductive cough is reduced, but her voluntary coughing is more productive. 4) Involuntary coughing produces large amounts of thick yellow sputum.

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A nursing student is giving an in-service presentation on aggressive behavior. What risk factor would the student be sure to include in the presentation?

A) Ethnicity B) Male gender C) Education D) Age

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The nurse is observing a group of 2- and 3-year-olds in a playgroup setting. Which behavior in one child indicates that the child may be autistic?

A) After another child takes a toy, the child cries and stomps his feet B) A child playing in the kitchen area pretends to pour a glass of milk and repeats this over and over C) While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack D) A child flips the light switch off and on until the caregiver asks her to stop and join the other children in playing

Nursing

Which statement about urinary tract infections is correct?

a. An infection in one structure can lead to an infection of the entire system. b. Men are at greater risk than women. c. Adequate fluid intake is a common cause. d. Microbes are normally present in the uri-nary system.

Nursing