Chapter 3 NCLEX Questions and Answers Foundations of Nursing Graded A

Chapter 3 NCLEX Questions and Answers Foundations of Nursing Graded A A patient confides that her broken arm is the result of her husband's abuse of her. In this instance, the nurse is required to: a. Get a second nurse to witness her statement b. Report the abuse to the authorities c. Assure the patient that the information will be kept private d. Confirm the abuse with another family member and then notify the charge nurse - ANS -B. Rationale: Nurses have a duty to report any suspected abuse and cannot keep the information "private." The student neglects to raise the head of the bed of a patient receiving continuous tube feedings. The patient aspirates and develops pneumonia. Which correctly describes the student's liability in this situation? a. The charge nurse is responsible because she did not delegate care properly b. The LPN caring for the patient is solely responsible because she is licensed c. The student is expected to provide the same standard of care as the LPN d. Both the nursing instructor and the student are equally liable - ANS -C. Rationale: Though they may not be as fast or efficient as a licensed nurse, students caring for patients in the clinical setting are expected to perform all tasks and duties to which they are assigned at the level of the LPN The visitor of one of your patients stops you in the hall and says, "I hope you will not try to revive my neighbor if her heart stops." The correct response is: a. "That decision is up to the physician." b. "We are all trained in CPR." c. "I understand your concern, but I can't discuss your neighbor's care with you." d. "There is a 'do-not-resuscitate' order in her medical record." - ANS -C. Rationale: This response politely, yet firmly, informs the person inquiring about the patient that this is not a topic for discussion because doing so would constitute a major violation of your patient's privacy. Visitors may use this type of statement (which you may agree with) as a means of trying to get you to disclose information about their friend. Which action(s) violate the HIPAA? (Select all that apply) a. Discussing the comatose patient's condition with his father-in-law b. Discussing the outcome of a patient's test with another nurse from the unit while in a crowded elevator c. Relaying information about the patient's concerns to the nurse who will care for him on the next shift