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Professional Issues FNP Intensive Review Leik Questions with complete solution

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Professional Issues FNP Intensive Review Leik Questions with complete solution An adult patient is being evaluated for tuberculosis infection with a Mantoux test. The PPD result is 10.5 mm. The patient denies weight loss, cough, and night sweats, and the results of a chest x-ray are negative. The ...

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  • August 19, 2024
  • 40
  • 2024/2025
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  • LEIK FNP
  • LEIK FNP
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Professional Issues FNP Intensive
Review Leik
An adult patient is being evaluated for tuberculosis infection with a Mantoux
test. The PPD result is 10.5 mm. The patient denies weight loss, cough, and
night sweats, and the results of a chest x-ray are negative. The patient reports
that he is undocumented and is fearful about being reported to a government
agency. What is most appropriate for the nurse practitioner?


The nurse practitioner has a legal duty to report the patient to the local federal
agency responsible for people without documentation


The nurse practitioner is legally mandated to report people without
documentation to state authorities


The nurse practitioner should call the state health department to report that
the patient has a tuberculosis infection


The nurse practitioner has an ethical duty to provide quality health care to
patients
This is an old question written by ignorant people who don't know people are
NOT illegal! Rewritten to state lacks documentation.


The NP has an ethical duty to provide quality health care to patients


Explanation


Health caregivers are not legally required to report illegal citizens to the state
or local authorities. This patient does not have the signs and symptoms of

,active tuberculosis (TB) disease (cough, weight loss, night sweats) and has a
negative chest x-ray. Therefore, he has latent TB infection and is not
contagious. Only patients with active TB disease (has signs/symptoms) must
be reported to the state public health department.


Proper ways to write about people
https://www.raceforward.org/sites/default/files/DTIW_Stylebook.pdf




The Health Insurance Portability and Accountability Act (HIPAA) was passed
by Congress in 2003. All of the following statements about HIPAA are correct
EXCEPT:


It provides federal protections for personal health information


It is applicable to all health care providers and payers who bill


electronically and transmit health information over the Internet


Patients have the right to view their mental health and psychotherapy-related
health information


It gives patients the right to view and correct errors in their medical records


Patients have the right to view their mental health and psychotherapy-related
health information


Explanation

,Mental health and psychotherapy/psychiatric records do not have to be
released to patients even if they request those records. Otherwise, any type of
medical records can be released if requested by the health insurance or
health plan for billing purposes and reimbursement.


HIPAA applies to all health care providers, health plans, health insurance
companies, medical clearinghouses, and others who bill electronically and
transmit health information over the Internet.




Some Native Americans may view illness or disease as being caused by
which of the following?


Poor blood circulation in the body


A punishment by the "spirits" for wrongful actions against others or for failure
to follow spiritual rules


An imbalance of the flow of energy in the body


An imbalance of the hot and cold energy forces in the body
A punishment by the "spirits" for wrongful actions against others or for failure
to follow spiritual rules


Explanation

, Some Native Americans may believe that illness is punishment by the spirits
for wrong actions or from failure to follow spiritual rules. Shamans "cure" the
illness by performing rituals and using herbal medicines. Medicine pouches
that are tied to the patient by a string are believed to help cure the illness. Do
not remove such pouches without the patient's (or parent's) permission.




In most states, patients younger than age 18 years may consent to health
care without parental or legal guardian consent in all except which of the
following cases?


Contraception


Pregnancy


School physical exams


Sexually transmitted disease (STD) evaluation and treatment
School physical exams


Explanation


Any student younger than 18 years of age must have parental permission to
have a school physical exam done.

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