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Rationales

  1. Answer B is correct. The Health Insurance Portability and Accountability Act (HIPAA) states that all healthcare personnel should access health information only if it is necessary for them to perform their job.
  2. Answer D is correct. Part of the MA-C duty is to give PRN medications as prescribed by the physician. A, B, and C are limitations of duties for the MA-C.
  3. Answer C is correct. The Medication Aide’s role does not include assessing or making decisions to decide whether a resident needs a medication or to obtain orders from a physician. The MA-C is responsible to report changes.
  4. Answer C is correct. If you accept a task that falls outside your position description, both you and the delegating nurse are medically liable (legally responsible) for any of your actions, or lack of action, that may result in harm to the client, and that includes not being supervised by a nurse.
  5. Answer A is correct. Competence is maintaining the knowledge, skills, and attitude necessary to perform the roles needed. B and C are incomplete definitions, and D is the definition of legal incompetence.
  6. Answer A is correct. It is important to ask open-ended questions when you need more than a yes or no answer. Residents should be encouraged to speak freely and share feelings and not be interrupted or spoken down to.
  7. Answer D is correct. Battery is unlawful personal violence toward a resident. Abuse is a threat of physical or mental harm, assault is a threat to touch a resident without permission, and neglect is to not act in the manner in which you were taught (either omitting care or performing care incorrectly) and that results in harm to a resident
  8. Answer D is correct. A, B, and C are all possible signs of abuse. D is the correct answer because patients will usually become withdrawn when a person who may be abusing them comes to visit.
  9. Answer D is correct. Slander, or sharing information with others about the resident that could damage the resident’s reputation, is a form of abuse and potential grounds for a civil lawsuit, called a tort.
  10. Answer A is correct. The only option here that centers on an ethical dilemma involving residents in long-term care is euthanasia. Other examples of ethical dilemmas include quality-of-life issues, death and dying, and access to health care.
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