RNSG 1523 Final Review Questions

With Correct Answers

What is HIPAA? What rights do patients have in regards to HIPAA? What are

penalties for HIPAA violations? - ANSWER Health Insurance Portability and

Accountability Act. gives you rights over your health information, including the

right to get a copy of your information, make sure it is correct, and know who

has seen it.

Nursing/ADPIE - What parts of care are classified as assessment, diagnosis,

planning, implementation, evaluation? When do they occur? What does a nurse

do in each step? - ANSWER Assessment - Patient current status and subjective

data

Diagnosis - primary cause of concern

Plan - Interventions to improve patient status

Implement - Put plan into action

Evaluate - Assess patient again, begin cycle over

First occurs when you receive patient and constantly moving through cycle.

Code of Ethics/Standards of Practice - What are these documents? What

information do they contain? What is their purpose? - ANSWER Both written by

American Nurses Association.

Code of Ethics is how a nurse should behave with respect and integrity for every

patient.

Standard of Practice describe a competent level of nursing practice

demonstrated by the critical thinking model known as the nursing process.

Documentation - What are the essential parts of documentation in the patient's

record; how do we document? - ANSWER records and information, including but

not limited to care, follow-up and discharge instructions, and consents should

be culturally appropriate and well-documented and provided in a manner that

allows sufficient opportunity and time to enable patients to understand and

appreciate them.

What are the essential parts of documentation in each section of a care plan? -

ANSWER ADPIE, 5 rights, outcomes,