ISPN模拟试题 需要的发邮箱啦

109. Disclosure of confidential information by the nurse about a patien's condition is legal when the information is

A. given to law enforcement personnel.

B. shared with other health team members.

C. discussed in private with a family member.

D. provided to the patient's employer.

110. A nurse is giving change of shift report and the nurses from the next shift start talking about the birthday party for a coworker. The best approach for the nurse giving the report is to

A. speak in a louder voice and continue the report.

B. wait for the others to finish their discussion.

C. ask the supervisor to sit in on the shift report.

D. state that he/she would like to continue with the report.

单词解析：

　　1.diaclosure n.揭发

　　2.coworker n.同事，合伙者

　　3.supervisor n.监护人，指导者

109.Answer: B Client Need: Management of Care

B. Nurses are legally and ethically obligated to keep information about patients confidential. When healthcare professionals have reason to use records for data gathering, research or education, there is no break in confidentiality as long as the records are used with permission and according to established guidelines. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) gives consumers control over how their personal health information is used and limits the release of information without a patient's consent.

A. The nurse does not have the authority to disclose confidential information about the patient's condition to law enforcement personnel. Law enforcement personnel will have to obtain a subpoena to obtain this information through medical records.

C. Only by obtaining the patient’s permission can the nurse give information to others, including family members.

D. Only by obtaining the patient's permission can the nurse give information to others, including the patient’s employer.

110. Answer: D Client Need: Management of Care

D. The best approach for the nurse is to use calm, direct, assertive communication with the coworkers and to state that he/she would like to continue with the change of shift report.

A. By speaking in a louder voice, the nurse is not communicating directly and the nurse may be perceived as aggressive by the coworkers.

B. Waiting for the others to finish their discussion is non-assertive or passive behavior that results in delaying the nurse from beginning the shift and could impact patient safety.

C. A nurse should first communicate directly with the coworkers before asking the supervisor to intervene and sit in on the shift report.