A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, "How is Rachael?

We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?" The nurse's response is:
A.
"The HIPAA law prevents me from disclosing any information about any patient."
B.
"All I can say is she is seeing Dr. Leone."
C.
"Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling extremely depressed other times."
D.
"Rachael was only there to renew her medication."


ANS: A
HIPAA (Health Insurance Portability and Accountability Act) states what can be disclosed about a patient and emphasizes patient privacy.

Nursing

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A client who had a partial gastrectomy has several expected nutritional problems. What actions by the nurse are best to promote better nutrition? (Select all that apply.)

a. Administer vitamin B12 injections. b. Ask the provider about folic acid replacement. c. Educate the client on enteral feedings. d. Obtain consent for total parenteral nutrition. e. Provide iron supplements for the client.

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An ICU nurse manager noticed a competent nurse has become forgetful and has made medication errors in the past few months. This type of behavior is unusual for this nurse. What action should the manager take?

1. Issue a written warning to the nurse. 2. Meet individually with the nurse to discuss the behavior. 3. Meet with other nursing staff to discuss the behavior. 4. Report the nurse to the human resources department.

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A patient for whom antiretroviral therapy has been prescribed informs the nurse that she is taking oral contraceptives. The nurse responds that the combination of oral contraceptives and antiretroviral therapy can lead to which of the following?

A) Decreased effectiveness of antiviral therapy B) Increased risk of vaginal bleeding C) Decreased effectiveness of birth control pills D) Increased serum level of the antiretroviral

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A college student has sought care at the campus medical clinical after a 5-day history of malaise that he believes is due to a bad cold. Which of the student's following statements should cause the nurse to suspect an alternative diagnosis?

A) "I never normally get headaches, but I've had a splitting headache for days." B) "My eyes and ears are so itchy that it's driving me crazy." C) "I've been burning up with a fever at night and then getting terrible chills too." D) "My nose is raw because of my runny nose and sneezing."

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