Discussion on brain attack process

Discussion on brain attack process
Which actions are a violation of the Health Insur-
ance Portability and Accountability Act of 1996
(HIPAA)? Select all that apply.
1. Talking about a patient to another
health professional in an elevator
2. Telling a neighbor about a famous
person who currently is your patient
3. Documenting untrue information on
purpose in a patient’s clinical record
4. Leaving patient data on a computer
screen in a hallway while administer-
ing medication
5. Completing an incident report about
a patient situation and asking the
nurse manager to review it
18. Which must be reported to legal authorities in some
states in North America?
1. Release against medical advice
2. Communicable diseases
3. Suspected child neglect
4. Abuse of older adults
19. A primary nurse is caring for a 70-year-old adult
who suffered a brain attack 10 days ago and is unre-
sponsive. The patient did not sign a legal instrument
identifying which adult child should make health-
care decisions in the event of incapacitation. Two of
the adult children are adamant about not wanting a
feeding tube inserted for nutritional support and two
of the adult children are just as firm about wanting a
feeding tube inserted. What should the nurse do to
best help resolve this situation?
1. Explain to the siblings all the advantages of insert-
ing a feeding tube.
2. Urge family members to discuss the matter of
inserting a feeding tube with their spiritual advisor.
3. Suggest that this issue about the feeding tube be
presented to an ethics committee for consultation.
4. Encourage the insertion of the feeding tube tem-
porarily until the patient’s status can be determined.
20. Which of the following is designed to protect the
nurse?
1. Americans with Disabilities Act
2. Nurse practice acts
3. Reporting of abuse
4. Incident reports
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