Integrated Learning Exam 1

A nurse is receiving a providers prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? *select all that apply* A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the provider signature on the prescription within 24 hours D. Declined the verbal prescription because it is not an emergency situation E. Tell the charge nurse that the provider has prescribed morphine by telephone

A, B & C

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? *select all that apply* A. Medication error B. Needle sticks C. Conflict with provider and nursing staff D. Omission of prescription E. Missed specimen collection of a prescribed laboratory test

A, B & D

Which of the following actions should a nurse take after witnessing a breach of a client's confidentiality in a provider's office? A. Complete a health information privacy complaint form. B. Anonymously notify the proper governmental agency. C. Notify the client and ask them to complete a health information privacy complaint form D. Inform the provider that a formal complaint will be submitted if another breach is committed.

A. Complete a health information privacy complaint form

Which of the following methods of information exchange can occur without client authorization? A. Walking rounds that involve two nurses discussing an assigned client at the client's bedside in a private room B. Recording the shift report on a device for all oncoming staff to access information about all clients on the unit C. Talking about a client's information during a staff in-service with all levels of unit staff present D. Providing an employer with confirmation that their employee is currently being treated in the facility

A. Walking rounds that involve two nurses discussing an assigned client at the client's bedside in a private room

A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a clients record? *select all that apply* A. Cover errors with correction fluid and write in the correct information B. Put the date and time on all entries C. Document objective data, leaving out opinions D. Use as many abbreviations as possible E. Wait until the end of the shift to document

B & C

A nurse manager is discussing the HIPAA privacy rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? *select all that apply* A. A single electronica records password is provided for nurses on the same unit B. Family members should provide a code prior to receiving client health information C. Communication of client information can occur at the nurses station D. A client can request a copy of their medical record E. A nurse can photocopy a clients medical record for transferred to another facility

B C D & E

A nurse is teaching a newly licensed nurse about using a computer to document in a client's health record. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "I should share my computer password with the nurse orienting me" B. "I should remain aware of my surroundings when documenting in the computer" C. "I can step away from the computer for a short time if I am logged on and no one is around" D. "I can review the health records of other clients on the unit not assigned to me"

B. "I should remain aware of my surroundings when documenting in the computer"

A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurses take to ensure the study complies with the HIPAA Privacy Rule? A. Contact the medical record department to obtain permission to access client's charts. B. Submit their proposal to the institutional review board for review and describe how they will de-identify client information. C. Notify the clients who will be included in the study to submit a written request if they choose not to participate. D. Obtain permission from the risk management department to gain access to incident reports that were filed due to client falls.

B. Submit their proposal to the institutional review board for review and describe how they will de-identify client information.

A nurse in a pediatrician's office is speaking on the telephone with the guardian of a school-age child who will become a new client at the office. The nurse should instruct the guardian to call the child's previous provider's office to request which of the following? A. The guardian will be allowed to take the child's medical records and make photocopies for the new pediatrician's office B. The child's original medical records to be given to the new pediatricians office C. A form authorizing release of copies of the child's medical records to be signed by the guardian D. A form authorizing release of the child's medical records to be signed by the new pediatrician and sent back to the previous provider

C. A form authorizing release of copies of the child's medical records to be signed by the guardian

A nurse is preparing information for a change of shift report. Which of the following information should the nurse include in the report? A. Input and output for the shift B. Blood pressure from the previous day C. Bone scan scheduled for today D. Medication routine from the medication administration record

C. Bone scan scheduled for today

A client tells a nurse that they feel their privacy has been violated and wants to file a formal complaint with someone other than the medical facility. Through which of the following agencies should the nurse instruct the client to file the complaint? A. Occupational Safety and Health Administration (OSHA) B. The Joint Commission C. Office for Civil Rights (OCR) D. Privacy and Civil Liberties Office

C. Office for Civil Rights (OCR)

A newly hired nurse is reviewing information about the HIPAA privacy rule during facility orientation. Which of the following statements by the nurse indicates an understanding of the Privacy Rule? A. "Clients do not have the right to read their charts" B. "I can read the charts of other clients on my floor" C. "I will expect a list of clients and their admitting diagnoses to be posted on my unit" D. "I can give information about a client over the phone if the client gives permission"

D. "I can give information about a client over the phone if the client gives permission"

A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client is unresponsive and the client's spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the client's surgery? A. Ask the facility's Privacy Officer to witness the informed consent document. B. Inform the client's friends that are present about the surgery and obtain group consent. C. Ask the nursing supervisor to provide emergency consent. D. Inform the provider of the spouse's contact information so consent can be obtained over the telephone.

D. Inform the provider of the spouse's contact information so consent can be obtained over the telephone.

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