Question 1
pts
In which situation would the RN intervene to protect client confidentiality? Select all
that apply.
An RN is seen viewing their spouse’s test results in the electronic health record.
A coworker remains logged on to the computer system after documenting patient care.
A patient report is faxed to the nurses’ station where the patient is being transferred.
The nurse manager is informed of a change in the patient’s condition.
A health care provider leaves their unlocked cell phone unattended in a public area.
Student Feedback: Review maintaining confidentiality and data security in Treas, page
410.
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 410
Rationale: HIPAA (The Healthcare Insurance Portability and Accountability Act) includes
keeping confidential all information, written and verbal, related to patients. Information
should only be shared with individuals involved in the care of the client.
Question 2
pts
Which information is part of the assessment section of a Situation, Background,
Assessment, and Recommendation (SBAR) report?
The client should be monitored for the timing and characteristics of first voiding.
The client is a 28-year-old male who had a bilateral orchiectomy 2 years ago.
, The client had a biopsy of the non-tender mass revealed testicular cancer.
The client had a urinary catheter discontinued 3 hours ago and hasn’t voided yet.
Student Feedback: Review SBAR report and the 4 parts of it in Treas, pages 407,408,
413
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 407-408, 413
Rationale: The situation is what is currently occurring with the client (why are they in the
hospital), the background is what led up to the hospitalization (including past
medical/surgical history, and other pertinent data), the assessment is the data the RN
collected and determination, and the recommendation is what the RN believes to be the
next action for the client.
Question 3
pts
Which best describes the purpose of an RN hand off report?
A handoff report is used when conflict about workload occurs between shifts.
Handoff reports are used only when there is a change in staff assignment.
Handoff is to inform staff about client status and changes for care continuity.
Handoff reports communicate changes in hospital policy and procedure.
Student Feedback: Review Handoff report purpose in Treas, pages 407-408
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 407-408
Rationale: Any change in client status require a handoff report, including, but not limited
to change in staff assignment, during daily rounds, and a change in client condition
pts
In which situation would the RN intervene to protect client confidentiality? Select all
that apply.
An RN is seen viewing their spouse’s test results in the electronic health record.
A coworker remains logged on to the computer system after documenting patient care.
A patient report is faxed to the nurses’ station where the patient is being transferred.
The nurse manager is informed of a change in the patient’s condition.
A health care provider leaves their unlocked cell phone unattended in a public area.
Student Feedback: Review maintaining confidentiality and data security in Treas, page
410.
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 410
Rationale: HIPAA (The Healthcare Insurance Portability and Accountability Act) includes
keeping confidential all information, written and verbal, related to patients. Information
should only be shared with individuals involved in the care of the client.
Question 2
pts
Which information is part of the assessment section of a Situation, Background,
Assessment, and Recommendation (SBAR) report?
The client should be monitored for the timing and characteristics of first voiding.
The client is a 28-year-old male who had a bilateral orchiectomy 2 years ago.
, The client had a biopsy of the non-tender mass revealed testicular cancer.
The client had a urinary catheter discontinued 3 hours ago and hasn’t voided yet.
Student Feedback: Review SBAR report and the 4 parts of it in Treas, pages 407,408,
413
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 407-408, 413
Rationale: The situation is what is currently occurring with the client (why are they in the
hospital), the background is what led up to the hospitalization (including past
medical/surgical history, and other pertinent data), the assessment is the data the RN
collected and determination, and the recommendation is what the RN believes to be the
next action for the client.
Question 3
pts
Which best describes the purpose of an RN hand off report?
A handoff report is used when conflict about workload occurs between shifts.
Handoff reports are used only when there is a change in staff assignment.
Handoff is to inform staff about client status and changes for care continuity.
Handoff reports communicate changes in hospital policy and procedure.
Student Feedback: Review Handoff report purpose in Treas, pages 407-408
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 407-408
Rationale: Any change in client status require a handoff report, including, but not limited
to change in staff assignment, during daily rounds, and a change in client condition
