Who should document care?
Answer(s): C
All staff members, including unlicensed assistive staff like nursing assistants, document and sign, all of the care that they have personally provided.For example, the nursing assistants will document the vital signs that they have taken; the licensed practical nurses will document all of the treatments and medications that they have given to the patient; and the registered nurse will document nursing diagnoses and assessments that they have completed.
Select the ethical principles that are paired with their description. (Choose all that apply.)
Answer(s): D,E,G
The principle of justice requires us to be fair and just to all.Fidelity is being faithful to one’s promises. By the very nature of the implicit nurse-client relationship, the nurse must be faithful and true to their professional promises and responsibilities by providing high quality, safe care in a competent, scientifically grounded manner while upholding the clients’ choices, desires and innate rights. Beneficence means doing good, it is more than not doing harm. Nonmaleficence is “Do not harm”, as stated in the historical Hippocratic Oath.Patient self-determination and autonomy is the ethical principle that supports the patient’s right to make their own choices without coercion or the undue influence of others.Lastly, veracity is truthfulness and being honest with the patients.
Which skin disorder most closely resembles and mimics dandruff?
Answer(s): A
Lice infestation with nits most closely resembles and mimics dandruff.Other signs and symptoms of lice infestation include itching and small, red bumps on the scalp, shoulders and/ or neck.Scabies is characterized with itchiness and thin, irregular mite burrow tracks that appear like tiny blisters or bumps on the skin.Dermatitis is evidenced with an itchy rash on swollen, reddened skin.Acne vulgaris appears as blackheads and/or whiteheads, papules, pustules, nodules, and/or cysts.
You have just learned that another nurse was fired for taking photographs of patients without their permission using a cell phone and posting them on Face book.This nurse was fired because the nurse has ______________.
This nurse was fired because the nurse has violated a federal law, namely, the U.S. government’s Health Insurance Portability and Accountability Act (HIPAA).This law protects the patients’ rights to the privacy and confidentiality of all medical information, including written, oral electronic information, and personal identity information like photograph taking unless the client has expressly consented to it in writing.Negligence is failing to do something in the proper manner; this invasion of patient privacy is far more serious than a breach of an ethical principle.Lastly, photographs and Facebook posting should never be done so proper documentation is not required. It is still illegal documented or not.
Which of the following healthcare providers can legally have access to all, or part, of a patient’s medical record because they have a “need to know”? (Choose all that apply.)
Answer(s): A,C,D,E
Medical records are restricted to only those who have a “need to know”.Student nurses caring for a particular patient have the “need to know” so they can properly care for their patient assignment.The Vice President for Nursing, as an administrator, who is investigating a patient fall also has a “need to know” because they are collecting data and information to prevent future falls.Licensed practical nurses caring for a particular patient have the “need to know” so they can provide care to the patient; and the quality assurance nurse has the “need to know” because they are collecting data for a performance improvement activity.No nurse, including registered nurses, are allowed access to all or part of a patient’s medical record unless they have a “need to know” because they are providing either direct or indirect care to the patient.
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