The newly enacted Health Insurance Portability and Accountability Act (HIPAA) of 2003 re-quires:

1. Insurance coverage for all clients
2. Policies on how to report communicable diseases
3. Limits on information and damages awarded in court cases
4. Safeguards to protect written and verbal information about clients


ANS: 4
The Health Insurance Portability and Accountability Act (HIPAA) requires all hospitals and health agencies to have specific policies and procedures in place to ensure that there are reasona-ble safeguards to protect written and verbal communications about clients. HIPAA does not re-quire insurance coverage for all clients. It limits the extent to which health plans may impose preexisting condition limitations and prohibits discrimination in health plans against individual participants and beneficiaries based on health status. HIPAA does not require policies on how to report communicable diseases. It does require safeguards to protect written and verbal infor-mation about clients. HIPAA does not require limits on information and damages awarded in court cases.

Nursing

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The nurse is preparing to percuss a patient's anterior chest area. Which approach will the nurse use for this assessment?

A) Begin at the sternal notch and percuss all areas on the right chest then all areas on the left chest. B) Begin at the sternal notch and percuss all areas on the left chest then all areas on the right chest. C) Begin above the left clavicle and percuss all areas on the left chest, then reverse the process and assess the right chest moving upward from the liver. D) Begin above the right clavicle and percuss each section comparing the right chest with the left chest.

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Data characteristics that can be ranked are measured on which scale?

a. Interval b. Nominal c. Ordinal d. Ratio

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The sibling of a patient who was diagnosed with a serious mental illness asks why a case manager has been assigned. The nurse's reply should cite the major advantage of the use of case management as:

a. "The case manager can modify traditional psychotherapy for homeless patients so that it is more flexible." b. "Case managers coordinate services and help with accessing them, making sure the patient's needs are met." c. "The case manager can focus on social skills training and esteem building in the real world where the patient lives." d. "Having a case manager has been shown to reduce hospitalizations, which prevents disruption and saves money."

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Defense mechanisms are strategies we use to distort our present reality in order to avoid anxiety.

Indicate whether the statement is true or false.

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