Chapter 7 Flashcards
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.
a. Ensuring that an individual’s health information is protected
b. Providing third-party players with access to patient’s medical records
c. Facilitating the movement of a patient’s medical information to the interested parties
d. Guaranteeing that all those in need of healthcare coverage have options to obtain it
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
a. Ensuring that an individual’s health information is protected
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
Which intervention demonstrates a nurse’s understanding of the initial action associated with the assessment of a patient’s spiritual beliefs?
a. Offering to pray with the patient
b. Providing a consult with the facility’s chaplain
c. Asking the patient what role spirituality plays in his or her daily life
d. Arranging for care to be provided with respect to religious practices
c. Asking the patient what role spirituality plays in his or her daily life
Which nursing interventions best demonstrate an understanding of the Quality and Safety Education in Nursing (QSEN) competences? Select all that apply.
a. Asking the patient what he or she expects from the treatment he or she is receiving
b. Seeking recertification for cardiopulmonary resuscitation (CPR)
c. Accessing the internet to monitor social media related to opinions on healthcare
d. Consulting with a dietician to discuss a patient’s cultural food preferences and restrictions
e. Reviewing the literature regarding the best way to monitor the patient for a fluid imbalance
a. Asking the patient what he or she expects from the treatment he or she is receiving
b. Seeking recertification for cardiopulmonary resuscitation (CPR)
d. Consulting with a dietician to discuss a patient’s cultural food preferences and restrictions
e. Reviewing the literature regarding the best way to monitor the patient for a fluid imbalance
Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)?
a. Does not support a universal organizational system
b. Commonly allows for the inclusion of subjective information
c. Documentation is not listed in chronological order
d. Does not support the nursing process as a format
c. Documentation is not listed in chronological order
Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder?
a. Mini-Mental State Examination (MMSE)
b. Body Attitude Test
c. Global Assessment of Functioning Scale (GAF)
d. Beck Inventory
d. Beck Inventory
. A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
a. “I lost my virginity last year.”
b. “I am angry with my parents most of the time.”
c. “I have thoughts of being in love with boys.”
d. “My parents do not know that I hit my grandpa.”
d. “My parents do not know that I hit my grandpa.”
During an interview with a non–English-speaking middle-aged woman recently diagnosed with major depression, the patient’s husband states, “She is happy now and doing very well.” The patient, however, sits motionless, looking at the floor, and wringing her hands. A professional interpreter would provide better information due to the fact that a family member in the interpreter role may: Select all that apply.
a. Be too close to accurately capture the meaning of the patient’s mood.
b. Censor the patient’s thoughts or words.
c. Avoid interpretation.
d. Leave out unsavory details
a. Be too close to accurately capture the meaning of the patient’s mood.
b. Censor the patient’s thoughts or words.
d. Leave out unsavory details
A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?
a. Identify triggers to self-mutilation
b. Demonstrate a decrease in frequency and intensity of cutting
c. Describe strategies in increase socialization on the unit
d. Describe two strategies to increase self-care
a. Identify triggers to self-mutilation
Medical records are considered legal documents. Proper documentation needs to reflect patient condition along with changes. It should also be based on professional standards designated by the state board of nursing, regulatory agencies, and reimbursement requirements. Proper documentation can be enhanced by:
a. Only using objective data
b. Using the nursing process as a guide
c. Using language the specific patient can understand
d. Avoiding legal jargon
b. Using the nursing process as a guide
Amadi is a 40-year-old African national being treated in a psychiatric outpatient setting due to a court order. Amadi’s medical record is limited in scope, so where can Renata, his registered nurse, obtain more data on Amadi’s condition within legal parameters? Select all that apply.
a. Emergency department records
b. Police records related to the offense resulting in the court order for treatment
c. Calling his family in Africa for details about Amadi’s mental health
d. Past medical records in the current facility
a. Emergency department records
b. Police records related to the offense resulting in the court order for treatment
d. Past medical records in the current facility
