RNSG 1105 Final Questions and Correct
Answers
HIPAA Ans: -- This law provides rights to patients and protects
employees. It protects individual employees from losing their
health insurance when changing jobs by providing portability.
--It also creates patient right to consent to the use and disclosure
of their protected health information, to inspect and copy one's
medical record, and to amend mistaken or incomplete
information.
--It limits who is able to access a patient's record.
Provides confidentiality of a patient's medical information.
What Patient Information is Confidential?
****All information about patients written on paper, spoken aloud,
saved on computer.
SBAR Ans: --standardized approach to communicate including the
opportunity to ask and respond to questions.
--provides a consistent method for hand-off communication that is
clear, structured, and easy to use by the Health Care Team.
--used to report to the HCP any situation that requires immediate
action
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--goal is to decrease miscommunication which is one of the most
common causes of patient injury or death.
Elements of SBAR Ans: S= Situation - What is the situation you are
calling about?
Be concise. ALWAYS ask - Do you know Mr. or Mrs. Patient's Name?
B= Background- Pertinent background information
related to the situation. Mental status, etc.
A = Assessment- What is the nurse's assessment of
the situation? what you found/think
R= Recommendation- What is the nurse's
recommendation or what does nurse want?
Potential Breaches in Patient Confidentiality Ans: --Leaving
information open on a computer screen.
--Sending confidential email messages with patient identifiers.
--Discarding copies of patient information in trash cans.
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--Holding conversations that can be overheard.
--Faxing confidential information to unauthorized persons.
--Sending confidential messages overheard on speakers
medical asepsis Ans: --Basic medical asepsis breaks the chain of
infection and should be used for all patients even if infection is
not present.
--Highly effective in reducing HAIs
--Protection of the susceptible host
--Control and elimination of reservoirs of infection
--Control of portals of exit/entry
--Control or elimination of infectious agents
Cleaning
--Control of transmission
NEUTROPENIC / PROTECTIVE ENVIRONMENT Ans: --Used for
patients to decrease the risk of infection in the most severe
immunocompromised patients.
--The most common of diseases are:
Cancer - Chemotherapy
AIDS
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Organ transplants
Restrict visitors who have colds
or contagious illnesses.
--Standard Precautions and ensure
all caregivers are healthy.
--Avoid collection of standing water from flowers or humidifiers to
prevent bacteria found in this water.
AIRBORNE PRECAUTIONS Ans: ----Used for patients who have
organisms that remain
in the air and travel a longer distance.
---The most common of these diseases are:
Tuberculosis
Chicken pox (varicella)
Measles (rubeola)
Herpes zoster
----The patient is in a private negative air pressure room where the
air is brought into the room from the hallway and leaves the room
via a separate exhaust system.
---Must wear a particulate filter mask (i.e. N95 mask).
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