The nurse caring for a patient states, "Your blood pressure is dangerously high

Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse states "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and places a note on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. I can't believe they don't provide insurance. I can't give her money but you all can help." This nurse:
a. is showing empathy and as long as she lets the patient know the money is not from her, she is not violating any social media guidelines.
b. is at risk for HIPAA violations.
c. has properly followed policy and protected the patient by not using her name.
d. is demonstrating the logical fallacy of slippery slope.


ANS: B
Correct: The National Council State Board of Nursing's policy on social media prohibits posting of patient information on social media sites. This patient could be identified by knowing where she works and the fact that she was seen in the ED the day before.
Incorrect:
a. The nurse is showing empathy but she violated patient confidentiality when she put the patient's occupation, place of work, and fact she was seen in ED the night before on Facebook.
c. It is against policy to place any patient information on social media.
d. Slippery slope is the belief that one event will inevitably follow another without any real support for that belief.

Nursing

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An older man tells a nurse, "The doctor says I have something wrong with my eyes, something called presbyopia. Can you explain why I have this? I was always fortunate to have good eye-sight." The nurse formulates a response based on the knowledge that:

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The nurse is preparing new parents for discharge with their newborn. The father asks the nurse why the baby's head is so pointed and puffy-looking. The best response by the nurse is:

1. "His head is molded from fitting through the birth canal. It will become more round." 2. "We refer to that as ‘cone head,' which is a temporary condition that goes away." 3. "It might mean that your baby sustained brain damage during birth, and could have delays." 4. "I think he looks just like you. Your head is much the same shape as your baby's."

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