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17.B Reflective Short-Answer Exercises Julia is supposed to be transferred with a mechanical lift
by two nursing assistants. The nursing assistant caring for Julia chose to transfer Julia by herself
rather than wait for a coworker to help her. Julia fell during this transfer. She suffered head
trauma and a broken hip and was transferred to the hospital. 1. In the story of Julia, what
information is protected by HIPAA? 2. If the nursing assistant would have explained the risks of
being transferred by one and not two assistants, and Julia agreed to a one assist, would this have
followed informed consent standards? Why or why not? 3. What did the nursing assistant do
when she chose to transfer Julia by herself rather than following the two-person assist as the care
plan indicated? 4. Was the action in the story abuse? Why or why not? 5. What do you think will
happen to the nursing assistant regarding her certification as a CNA?

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