NUR 204 Hesi final Exam Questions
with Verified Solutions Rated A+
Nursing problem statement - CORRECT ANSWER-"nursing problem --> related to -->
plus symptoms
HIPPA keypoints - CORRECT ANSWER-1) only share client info with other team
members directly involved with care
- need to know basis
- no over sharing detailed information with ''non-essential'' personnel i.e.
transporters/drivers, secretaries
2) never discuss client info in the hallway, elevator, public area, outside hospital
- ONLY in secure private areas at work (i.e. nurses station, private room)
3) DO NOT access charts or info that is NOT needed directly for work
4) Computer charting: NO PASSWORD sharing - not even with supervisor (charge
nurse or director)
and LOG OFF when stepping away and log off your coworkers if they do ''leave the
computer in the hall unattended''
5) NO taking info home. Must dispose of report sheets in a secure shredder and old
medical records are kept in a locked file cabinet.
6) Information releases: Yes, client's have the right to receive a copy of their own health
records but NO we cannot share info with a family or friend without the client's
permission
,7) Report any breath of confidentiality. Violation examples: talking about client's health
condition in a hallway/elevator, takng home client's report sheet [must be shredded at
the end of the shift],
HIPPA (Health Insurance Portability and Accountability Act) - CORRECT ANSWER-Law
protecting the right to privacy for clients.
Regulates how a client's personal health information i.e. diagnosis or test results are
used and disclosed.
Nurses and healthcare professionals are both legally an ethically required to protect
client's privacy as well as maintain confidentiality of their medical information.
Charge nurse from another unit asks about the client's condition stating ''the client is my
neighbor and i want to check on her,'' how should the nurse respond? - CORRECT
ANSWER-I am sorry, I cannot tell you
key term: another unit
The nurse looks up the chart of a cousin who is not under the care of the nurse. What is
the manager's next action? - CORRECT ANSWER-Contact HR department
There is a breach of confidentiality in this case
What are the possible consequences if a nurse has shared his computer username and
password with a student nurse? - CORRECT ANSWER-The nurse can be prosecuted
as a criminal
, A client's spouse is asking for more information on the client, what does the nurse do
next? - CORRECT ANSWER-Nurse must first get permission from the client
Husband is requesting lab results for his wife. How should the nurse respond? -
CORRECT ANSWER-''Let me check if you have permission''
a 19 yo female asks for a prescription for oral contraception. She is under her parents
insurance but does not want her parents to know. According to HIPPA, what should the
provider tell the patient? - CORRECT ANSWER-Since patient is over 18, the client's
parents may not view the medical record but may learn about it from their insurance
billing receipts.
Is this a violation: Calling out a client's full legal first and last name in the waiting room -
CORRECT ANSWER-no. not a violation of hippa
Is this a violation: Telling the client's driver that the ''client has stage 4 pancreatic cancer
for.3 weeks and needs to be handled gently'' - CORRECT ANSWER-Yes, this is a
violation. You can just tell the driver that the patient needs to be handled gently.
Client overheards the nurse giving report details on the client's roommate through the
room's curtain - CORRECT ANSWER-NO not a violation.
a new grad nurse accessing medical records of a client they took care of last week but
not currently assigned - CORRECT ANSWER-yes, violation.
key word ''not currently assigned''
Explaining the results of a client's lab reports to a unit secretary who is organizing the
client's medical record - CORRECT ANSWER-yes, violation.
with Verified Solutions Rated A+
Nursing problem statement - CORRECT ANSWER-"nursing problem --> related to -->
plus symptoms
HIPPA keypoints - CORRECT ANSWER-1) only share client info with other team
members directly involved with care
- need to know basis
- no over sharing detailed information with ''non-essential'' personnel i.e.
transporters/drivers, secretaries
2) never discuss client info in the hallway, elevator, public area, outside hospital
- ONLY in secure private areas at work (i.e. nurses station, private room)
3) DO NOT access charts or info that is NOT needed directly for work
4) Computer charting: NO PASSWORD sharing - not even with supervisor (charge
nurse or director)
and LOG OFF when stepping away and log off your coworkers if they do ''leave the
computer in the hall unattended''
5) NO taking info home. Must dispose of report sheets in a secure shredder and old
medical records are kept in a locked file cabinet.
6) Information releases: Yes, client's have the right to receive a copy of their own health
records but NO we cannot share info with a family or friend without the client's
permission
,7) Report any breath of confidentiality. Violation examples: talking about client's health
condition in a hallway/elevator, takng home client's report sheet [must be shredded at
the end of the shift],
HIPPA (Health Insurance Portability and Accountability Act) - CORRECT ANSWER-Law
protecting the right to privacy for clients.
Regulates how a client's personal health information i.e. diagnosis or test results are
used and disclosed.
Nurses and healthcare professionals are both legally an ethically required to protect
client's privacy as well as maintain confidentiality of their medical information.
Charge nurse from another unit asks about the client's condition stating ''the client is my
neighbor and i want to check on her,'' how should the nurse respond? - CORRECT
ANSWER-I am sorry, I cannot tell you
key term: another unit
The nurse looks up the chart of a cousin who is not under the care of the nurse. What is
the manager's next action? - CORRECT ANSWER-Contact HR department
There is a breach of confidentiality in this case
What are the possible consequences if a nurse has shared his computer username and
password with a student nurse? - CORRECT ANSWER-The nurse can be prosecuted
as a criminal
, A client's spouse is asking for more information on the client, what does the nurse do
next? - CORRECT ANSWER-Nurse must first get permission from the client
Husband is requesting lab results for his wife. How should the nurse respond? -
CORRECT ANSWER-''Let me check if you have permission''
a 19 yo female asks for a prescription for oral contraception. She is under her parents
insurance but does not want her parents to know. According to HIPPA, what should the
provider tell the patient? - CORRECT ANSWER-Since patient is over 18, the client's
parents may not view the medical record but may learn about it from their insurance
billing receipts.
Is this a violation: Calling out a client's full legal first and last name in the waiting room -
CORRECT ANSWER-no. not a violation of hippa
Is this a violation: Telling the client's driver that the ''client has stage 4 pancreatic cancer
for.3 weeks and needs to be handled gently'' - CORRECT ANSWER-Yes, this is a
violation. You can just tell the driver that the patient needs to be handled gently.
Client overheards the nurse giving report details on the client's roommate through the
room's curtain - CORRECT ANSWER-NO not a violation.
a new grad nurse accessing medical records of a client they took care of last week but
not currently assigned - CORRECT ANSWER-yes, violation.
key word ''not currently assigned''
Explaining the results of a client's lab reports to a unit secretary who is organizing the
client's medical record - CORRECT ANSWER-yes, violation.
