ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals. Explanation of other choices: A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA. C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA. D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.
Question 2 of 5
In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
Correct Answer: A
Rationale: In the nursing process, planning is the step where the nurse determines appropriate interventions for the identified nursing diagnosis. Firstly, in the assessment step (choice C), the nurse collects data to identify the nursing diagnosis. Next, in the diagnosis step, the nurse analyzes the data to identify the nursing diagnosis. Then, in the planning step (choice A), the nurse develops a plan of care that includes specific interventions to address the nursing diagnosis. Finally, in the intervention step (choice D), the nurse implements the planned interventions. Evaluation (choice B) is the step where the nurse assesses the effectiveness of the interventions. Therefore, choice A is correct as it is the step where the nurse determines the appropriate interventions based on the identified nursing diagnosis.
Question 3 of 5
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?
Correct Answer: D
Rationale: The correct answer is D because it reflects a specific, measurable, and realistic expected outcome for the nursing diagnosis of acute pain. It includes the patient's subjective pain rating (2 on a scale of 10) and a time frame (1 hour after administration of medication). This outcome is achievable and provides a clear target for evaluating the effectiveness of pain management. Option A is incorrect as it does not specify a time frame or intervention. Option B is vague and lacks a measurable outcome. Option C is also vague and lacks a clear time frame for evaluation. Overall, option D is the best choice as it aligns with the SMART criteria for expected outcomes in nursing care planning.
Question 4 of 5
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
Correct Answer: B
Rationale: The correct answer is B because increased job satisfaction and lower staff turnover are key indicators of Magnet status, which focuses on nursing excellence and quality care. This is supported by research showing a correlation between Magnet hospitals and positive nurse outcomes. Choices A, C, and D are incorrect as they do not directly align with the criteria for Magnet status, which primarily emphasizes nursing excellence rather than physician certification or educational requirements for nurses.
Question 5 of 5
The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?
Correct Answer: C
Rationale: The correct answer is C: Reflection. The nurse is using a reflection communication technique by restating the patient's feelings to show understanding and empathy. This helps the patient feel heard and validated. Clarifying (A) involves seeking more information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves providing organization or direction. In this scenario, the nurse is not seeking more details (Clarifying), restating the patient's words exactly (Paraphrasing), or providing organization/direction (Structuring), but rather reflecting the patient's emotions back to them.