RPN Documentation and Reporting 3

Question 1

Under HIPAA, which of the following actions by a nurse would constitute a privacy violation?

Accepted Answer

Sharing a patient's diagnosis with a family member without the patient's consent

Answer

HIPAA prohibits sharing patient health information with family members without explicit patient authorization, with limited exceptions.

Question 2

Which component of the SBAR communication tool prompts the nurse to state what they think is the problem?

Accepted Answer

Assessment

Answer

The 'Assessment' component of SBAR is where the nurse provides their clinical judgment about what is happening with the patient.

Question 3

A patient's medical record is subpoenaed for a legal case. The nurse should:

Accepted Answer

Submit the record as-is without alteration and notify the facility's legal counsel

Answer

Records must never be altered when subject to legal proceedings; the nurse should follow facility policy and notify legal counsel.

Question 4

What is the primary purpose of nursing documentation in the medical record?

Accepted Answer

To provide a communication tool for continuity of patient care

Answer

The primary purpose of nursing documentation is to communicate patient status and care provided to ensure continuity of care among all providers.

Question 5

Which abbreviation is on The Joint Commission's 'Do Not Use' list due to potential for misinterpretation?

Accepted Answer

U (for units)

Answer

The abbreviation 'U' for units is on The Joint Commission's Do Not Use list because it can be mistaken for '0' (zero), potentially causing a 10-fold dosing error.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Documentation and Reporting 3