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RNSG 1105 Final Exam Study Guide with Complete Solutions
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RNSG 1105 Final Exam Study Guide with Complete Solutions HIPAA - Correct Answer -- This law provides rights to patients and protects employees. It protects individual employees from losing their health insurance when changing jobs by providing portability. --It also creates patient right to conse...

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  • October 4, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
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RNSG 1105 Final Exam Study Guide with
Complete Solutions
HIPAA - Correct Answer -- This law provides rights to patients and protects employees. It protects
individual employees from losing their health insurance when changing jobs by providing portability.

--It also creates patient right to consent to the use and disclosure of their protected health
information, to inspect and copy one's medical record, and to amend mistaken or incomplete
information.

--It limits who is able to access a patient's record.

Provides confidentiality of a patient's medical information.



What Patient Information is Confidential?

****All information about patients written on paper, spoken aloud, saved on computer.



SBAR - Correct Answer --standardized approach to communicate including the opportunity to ask and
respond to questions.

--provides a consistent method for hand-off communication that is clear, structured, and easy to use
by the Health Care Team.

--used to report to the HCP any situation that requires immediate action

--goal is to decrease miscommunication which is one of the most common causes of patient injury or
death.



Elements of SBAR - Correct Answer S= Situation - What is the situation you are calling about?

Be concise. ALWAYS ask - Do you know Mr. or Mrs. Patient's Name?



B= Background- Pertinent background information

related to the situation. Mental status, etc.



A = Assessment- What is the nurse's assessment of

the situation? what you found/think



R= Recommendation- What is the nurse's

recommendation or what does nurse want?

,Potential Breaches in Patient Confidentiality - Correct Answer --Leaving information open on a
computer screen.

--Sending confidential email messages with patient identifiers.

--Discarding copies of patient information in trash cans.

--Holding conversations that can be overheard.

--Faxing confidential information to unauthorized persons.

--Sending confidential messages overheard on speakers



medical asepsis - Correct Answer --Basic medical asepsis breaks the chain of infection and should be
used for all patients even if infection is not present.

--Highly effective in reducing HAIs

--Protection of the susceptible host

--Control and elimination of reservoirs of infection

--Control of portals of exit/entry

--Control or elimination of infectious agents

Cleaning

--Control of transmission



NEUTROPENIC / PROTECTIVE ENVIRONMENT - Correct Answer --Used for patients to decrease the
risk of infection in the most severe immunocompromised patients.

--The most common of diseases are:

Cancer - Chemotherapy

AIDS

Organ transplants

Restrict visitors who have colds

or contagious illnesses.

--Standard Precautions and ensure

all caregivers are healthy.

--Avoid collection of standing water from flowers or humidifiers to prevent bacteria found in this
water.

, AIRBORNE PRECAUTIONS - Correct Answer ----Used for patients who have organisms that remain

in the air and travel a longer distance.

---The most common of these diseases are:

Tuberculosis

Chicken pox (varicella)

Measles (rubeola)

Herpes zoster

----The patient is in a private negative air pressure room where the air is brought into the room from
the hallway and leaves the room via a separate exhaust system.

---Must wear a particulate filter mask (i.e. N95 mask).

--Keep patient's door closed at all times.

****Patients on airborne precautions must wear surgical masks when leaving the negative air
pressure room for any reason.***



WHAT ARE THE MINIMUM REQUIREMENTS for PPE? - Correct Answer Airborne: N95 Mask

Droplet: Surgical Mask

Contact: Gown, Gloves



PPE: Gloves - Correct Answer NOT a substitute for good hand hygiene

- Worn only once per patient intervention.

- Discarded appropriately according to facility policy.

- Once gloves are removed hands are thoroughly decontaminated with meticulous hand hygiene.



CONTACT PRECAUTIONS - Correct Answer --Used for patients who are infected or colonized by a
multidrug-resistant organism (MDRO).

--The most common of these organisms are:

Clostridium difficile (C-diff).

Methicillin-resistant Staphylococcus aureus (MRSA).

--Contact precautions include use of barrier precautions such as gloves and impermeable gowns to
prevent direct contact with infectious organism.

--The goal is to prevent the transmission of disease by direct and indirect contact.

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