While working on the pediatric unit, the nurse recognizes a neighbor whose child has been admitted to the hospital pediatric intensive care
Out of curiosity, the nurse visits the PICU and reviews the child's chart for information about the child's diagnosis. This nurse: 1. Has violated HIPAA laws.
2. Was working within the legal limitations of his/her job.
3. Was not guilty of violating HIPAA laws unless the nurse shares the information with someone outside the hospital.
4. Was working as a member of the health care team to provide family-centered nursing.
1
Rationale 1: Because the nurse was not involved in the child's care, the nurse had no right to review the chart and violated the family's right to privacy by reviewing the chart.
Rationale 2: This nurse was not involved in the child's care and had no legal right to the information.
Rationale 3: The nurse had no legal right to the information even if the information was not shared with others.
Rationale 4: Although the nurse was a member of the health care team, this nurse was not on the team assigned to this patient. It is a HIPAA violation.
Global Rationale:
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The son of an older patient is concerned about the patient's ongoing forgetfulness and asks the nurse to explain what could be wrong with the patient. How should the nurse respond to the son?
1. "Memory difficulties are hard for family members to deal with." 2. "My parents are the same age as yours, and they can't remember anything." 3. "Forgetfulness is common in older adults. It's nothing you need to worry about." 4. "Memory difficulties can be due to underlying issues including anxiety, chronic pain, or depression."
The nurse is observing several patients who are in the activity room of the inpatient psychiatric facility. The nurse notices that one of the patients begins to get upset, raising her voice, pacing the room, and standing with clenched fists
What is the nurse's priority action? 1. Reorient the patient to person, place, and time. 2. Remove other patients from the room to provide more space. 3. Call the health care provider to obtain an order for anti-anxiety medication. 4. Call security and promptly isolate the patient and apply physical restraints.
A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the fol-lowing should the nurse include in the teaching?
a. Avoid foods high in purine. b. Encourage the patient to take in 1 L of fluid daily. c. Consume one glass of red wine daily. d. Recommend that the patient eat 12-16 ounces of foods high in protein such as red meat.
One nurse confronts another and says, "You are always so talkative in the meetings. I don't know why you can't stay quiet sometimes." Which response by the other nurse reflects the technique of "shifting from content to process?"
A) "You're right. I do speak up a lot." B) "Sounds to me like you're agitated and we need to talk. What are you truly angry about?" C) "Are you offended that I speak up, or because my thoughts are in opposition to yours?" D) "I have the right to express my opinion."