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Exam (elaborations)

Rnsg 1413 Exam 1 Chapter Review Questions With Correct Answers

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RNSG 1413 EXAM 1 CHAPTER REVIEW QUESTIONS WITH CORRECT ANSWERS

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The nurse received a hand-off report at the change of shift in the conference room
from the night shift nurse. The nursing student assigned to the nurse asks to review the
medical records of the 314patients assigned to them. The nurse begins assessing the
assigned patients and lists the nursing care information for each patient on each
individual patient's message board in the patient rooms. The nurse also lists the
patients' medical diagnoses on the message board. Later in the day the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which of
these actions describes a violation of the Health Insurance Portability and
Accountability Act (HIPAA)?


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, Posting medical information about the patient on a message board in the
patient's room




The nurse is caring for a patient who is having a seizure. Which of the following
measures will protect the patient and the nurse from injury? (Select all that apply.)


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With patient on floor, clear surrounding area of furniture or equipment.
Do not restrain patient; hold limbs loosely if they are flailing.
Never force apart a patient's clenched teeth.




Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select
all that apply.)


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Caregiver
Autonomy and accountability
Patient advocate
Health promotion




A nurse knows that the people most at risk for accidental hypothermia are: (Select all
that apply.)


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, People who are homeless.
People with cardiovascular conditions.
The very old.




A nurse notes that the health care unit keeps a listing of the patient names at the front
desk in easy view for health care providers to more efficiently locate the patient. The
nurse talks with the nurse manager because this action is a violation of which act?


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Health Insurance Portability and Accountability Act (HIPAA)




Using Healthy People 2020 as a guide, which of the following would improve delivery
of care to a community? (Select all that apply.)


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Community assessment
Implementation of public health policies
Increased access to care
Determining rates of specific illnesses




You are the night shift nurse caring for a newly admitted patient who appears to be
confused. The family asks to see the patient's medical record. What is the priority
nursing action?


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, Determine from the medical record if the family has been granted
permission by the patient to access his or her medical information




A hospice nurse is caring for a family that is providing end-of-life care for their
grandmother, who has terminal breast cancer. When the nurse visits, the focus is on
symptom management for the grandmother and helping the family with coping skills.
This approach is an example of which of the following?


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Family as patient




Which of these statements are true regarding disinfection and cleaning? (Select all
that apply.)


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Proper cleaning requires mechanical removal of all soil from an object or
area.
General environmental cleaning is an example of medical asepsis.
Cleaning in a direction from the least to the most contaminated area helps
reduce infections.




In viewing the family as context, what is the primary focus?


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