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 the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
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 the appropriate interventions for the identified nursing diagnosis. Firstly, after assessing the patient's needs (Assessment), the nurse analyzes the data to identify nursing diagnoses. Next, in the Planning step, the nurse sets goals, establishes priorities, and decides on specific interventions to address the nursing diagnoses. This step involves developing a comprehensive care plan tailored to the individual patient's needs. Evaluation comes after the interventions are implemented to assess the effectiveness of the care provided. The Intervention step involves carrying out the planned interventions. Thus, the correct answer is A: Planning.
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 aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation. Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.
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. Magnet status focuses on nursing excellence, including job satisfaction and low turnover rates. A is incorrect as it describes hierarchical communication. C is irrelevant to nursing excellence. D is incorrect as while education and certification are important, they are not mandatory for Magnet status.
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 the communication technique of reflection by restating the patient's feelings back to her. This technique helps the patient feel heard and understood, promoting a therapeutic relationship. Clarifying (A) involves seeking further information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves organizing the conversation - none of which are demonstrated in the scenario.