NCLEX-PN

8. Which federal law is most closely associated with the highly restrictive “need to know”?

A.​ The Patient Self-Determination Act B.​ The Mental Health Parity Act C.​ The Health Insurance Portability and Accountability Act D.​ The Americans with Disabilities Act of 1990 Correct Response : C

Explanation : The federal law most closely associated with the principle of " need to know " is the Health Insurance Portability and Accountability Act (HIPAA), which restricts access to medical information to those who require it for providing direct and/or indirect care to the client. The Patient Self-Determination Act , passed in 1990, empowers Americans to make healthcare decisions and have them protected and communicated, especially when they are no longer capable. This includes decisions about future care and treatment documented in advance directives. The Mental Health Parity Act of 2008 mandates insurance coverage for mental health services similar to medical coverage. Additionally, the Americans with Disabilities Act of 1990 and the Rehabilitation Act of 1973 prohibit discrimination against individuals with disabilities. (See Documenting & Accessing Client Records ) 9. The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand off” change of shift reporting. Which of the following is a standardized “hand off” change of shift reporting system that you may want to consider for implementation in your nursing care unit? A.​ The Four P's Explanation : The standardized “hand off” change of shift reporting system that you may want to consider for implementation in your nursing care unit is ISBAR . The Joint Commission on the Accreditation of Healthcare Organizations also suggests other standardized hand-off reports such as: ●​ SBAR (not IBAR) ●​ BATON ●​ The Five Ps not the Four Ps and ●​ IPASS ●​ Lastly, MAUUAR is a method of priority setting and not a standardized “hand off” change of shift reporting system. (See Communication Tools ) B.​ UBAR C.​ ISBAR D.​ MAUMAR Correct Response: C

58

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​