Ch. 1 Professional Nursing Practice questions

Ch. 1 Professional Nursing Practice and answers well explained 100% pass. A patient with coronary artery disease is admitted to the hospital. An electronic health record (EHR) is generated for the patient. Which information will be present in the EHR? Select all that apply. 1 Medications 2 Laboratory data 3 Educational qualifications 4 Financial background 5 Medical and surgical history - correct answersThe electronic health record (EHR) is a computerized record of protected health information (PHI). It includes information such as patient demographics, progress notes, problems and medications, vital signs, medical history, immunizations, and laboratory and radiology reports. The educational qualifications of the patient are not included in EHR. Similarly, the financial background of the patient is not mentioned in the EHR. Text Reference - p. 10 At the end of a very long day involving the death of a patient, the nurse uses her social media account to share her experience and find some support. According to the Health Insurance Portability and Accountability Act (HIPAA) which posting would be acceptable? 1 "One of my favorite patients died today from pancreatic cancer. It was so difficult because he was only 27. So young." 2 "It was a very difficult day for me due to the death of one of my favorite patients." 3 "My shift at Affinity General was so hard today when one of my long-term patients died." 4 "It is so sad when a young, healthy guy like the one I have been taking care of dies from cancer." - correct answersHIPAA prohibits the sharing of any health information which could potentially identify a patient. Stating that the nurse had a difficult day due to the death of a favorite patient does not contain any personally identifying information and generally would not be considered a violation. Sharing any information pertaining to location (Affinity Hospital), age (27), or diagnosis (cancer) could aid in identification of the individual and is thus prohibited by HIPAA standards. Text Reference - p. 4 A nurse understands that it is very important to identify the patient accurately before any patient-related activity is performed. What measures should the nurse take to improve the accuracy of patient identification? 1 Ask the patient his or her name repeatedly. 2 Assign a number to the patient and do not use personal names. 3 Use at least two ways of identifying the patient, including full name and date of birth. 4 Ask another nurse to keep records of the same patient as a backup. - correct answersThe best way to improve the accuracy of patient identification is to use at least two ways to identify patients. The nurse can use information such as the patient's full name and date of birth or full name and birth city. Asking the patient to repeat his or her name is not practical and will not serve the purpose. Similarly, giving only numbers to patients may create confusion. Asking the other nurse to keep a backup will only increase workload and is not practical. Text Reference - p. 14 A nurse performs assessments and plans care for the patients on a medical unit. What patient care can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. 1 Evaluating a patient's orientation to time and place 2 Helping the patients with bathing and hygiene 3 Planning nursing actions for patient care 4 Measuring and recording the patients' vital signs 5 Providing patient education about the prevention of disease - correct answersThe unlicensed assistive personnel (UAP) may be delegated activities that do not require nursing judgment. Helping the patient with bathing and measuring and recording vital signs are routine tasks that can be performed without advanced nursing education and training, and thus can be delegated to the UAP. Evaluation of the patient's awareness requires assessment and should not be delegated to the UAP. Planning nursing actions require nursing judgment and should not be delegated to the UAP. Patient teaching should not be delegated to the UAP as it requires advanced knowledge of the teaching and learning process. Text Reference - p. 16