Author Question: The patient is admitted to the ICU after having been in a motor vehicle accident. He was intubated ... (Read 46 times)

bcretired · **on:** Jul 24, 2018

The patient is admitted to the ICU after having been in a motor vehicle accident. He was intubated in the Emergency Department and needs to receive two units of packed red blood cells.

He is conscious but is indicating that he is in pain by guarding his abdomen. To admit this patient, the nurse first will focus on: a. Examining the patient and treating the pain
b. Orienting the family to the ICU visitation policy
c. Making sure that the consent forms are signed
d. Informing the patient of his HIPAA rights

Question 2

The patient has been admitted to the Emergency Department after being beaten and raped. She is agitated and frightened that her attacker may find her in the hospital and try to kill her. The nurse informs the patient that:

a. She is safe in the hospital, and that she needs to provide her name
b. She can be admitted to the hospital without anyone knowing it
c. Her records will be used as evidence in the trial
d. Since she has come to the hospital, she has to be examined by the doctor

Anonymous · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
When a critically ill patient reaches a hospital's nursing division, the patient immediately undergoes extensive examination and treatment procedures. Little time is available for the nurse to orient the patient and family to the division or to learn of their fears or concerns.

Answer to Question 2

B
A patient who has been a victim of crime can be admitted anonymously under an agency's blackout or do not publish procedure. HIPAA places limits on the institution's ability to use or disclose the patient's PHI. The Patient Self-Determination Act prohibits the hospital from requiring her to submit to an examination.