Nursing Elites

1. What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

• A. To provide health insurance coverage for all Americans.
• B. To ensure the confidentiality of health information.
• C. To reduce the cost of healthcare.
• D. To increase access to healthcare services.

Correct answer: B

Rationale: The primary purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to ensure the confidentiality and security of health information. HIPAA establishes national standards to protect individuals' medical records and other personal health information. By safeguarding the privacy of health data, HIPAA aims to maintain the integrity and confidentiality of sensitive patient information, preventing unauthorized access and disclosure. This focus on privacy and security helps build trust between patients and healthcare providers, ensuring that personal health information is handled responsibly and ethically.

2. What is the primary benefit of using electronic health records (EHRs) in healthcare?

• A. EHRs eliminate the need for paper records.
• B. EHRs ensure complete patient confidentiality.
• C. EHRs improve the accuracy of patient information.
• D. EHRs reduce the time spent on documentation.

Correct answer: C

Rationale: The primary benefit of using electronic health records (EHRs) in healthcare is that they improve the accuracy and completeness of patient information. By utilizing EHRs, healthcare providers have access to more reliable and up-to-date patient data, which leads to better patient care outcomes. This improved accuracy enables healthcare professionals to make better-informed decisions and provide more effective treatments, ultimately enhancing patient safety and quality of care.

3. A client with lactose intolerance is being taught about dietary management by a nurse. Which statement by the client shows an understanding of the teaching?

• A. I should avoid foods that contain lactose.
• B. I should increase my intake of dairy products.
• C. I should avoid foods that contain gluten.
• D. I should increase my intake of high-fiber foods.

Correct answer: A

Rationale: The correct answer is A: 'I should avoid foods that contain lactose.' Lactose intolerance results from the inability to digest lactose, a sugar found in dairy products. Avoiding foods that contain lactose is essential in managing symptoms like bloating, diarrhea, and abdominal pain. Choice B is incorrect because increasing dairy intake would worsen symptoms. Choice C is incorrect because gluten is unrelated to lactose intolerance. Choice D is incorrect because high-fiber foods are beneficial for other conditions but do not specifically address lactose intolerance.

4. When admitting a client at risk for falls in a long-term care facility, what should the nurse do first?

• A. Complete a fall-risk assessment
• B. Place a fall-risk identification bracelet on the client
• C. Provide the client with nonskid footwear
• D. Set the bed to the lowest position

Correct answer: A

Rationale: The initial step in caring for a client at risk for falls is to conduct a fall-risk assessment. This assessment helps the nurse gather crucial data to identify specific risks and individualized needs, guiding subsequent interventions and preventive measures. By completing a thorough assessment, the nurse can develop a targeted plan of care to mitigate fall risk and ensure the client's safety. Placing a fall-risk identification bracelet, providing nonskid footwear, or setting the bed to the lowest position may be important interventions, but these actions should be based on the findings of the fall-risk assessment, making choice A the priority.

5. When teaching a client how to perform self-catheterization, which of the following instructions should be included?

• A. Use sterile gloves during the procedure.
• B. Clean the catheter with alcohol after each use.
• C. Insert the catheter 2-4 inches into the urethra.
• D. Perform the procedure every 8 hours.

Correct answer: C

Rationale: To ensure effective drainage, the catheter should be inserted 2-4 inches into the urethra. This length allows the catheter to reach the bladder, bypass the urethral sphincters, and ensure proper drainage without causing discomfort or injury. Using sterile gloves, cleaning the catheter with alcohol, and performing the procedure every 8 hours are not accurate instructions for self-catheterization.

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