Chapter 2 Flashcards

The Person's Right

1
Q

If a resident requests any information about their medical record, or is refusing treatment, who do you report this to?

A

The Nurse

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2
Q

What is the right to information?

A

Access to all records about the person

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3
Q

T/F: The request for information can only be written

A

FALSE: Request for information can be oral or written

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4
Q

T/F: You can fully inform the patient of his or her health condition

A

False you cannot

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5
Q

A person cannot be treated without?

A

Consent

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6
Q

________ ________ are part of the right to refuse treatment

A

Advance directives

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7
Q

What are advance directives?

A

Written statement of a person’s wishes/instructions regarding medical treatment when the person is not able to make such decisions or communicate them to a doctor.

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8
Q

What includes the living wills and instructions about life support?

A

Advance Directives

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9
Q

A patient is refusing treatment.

What must the center do next after patient is refusing treatment? (4)

A
  • Find out why they are refusing
  • Explain the problems resulting from the refusal
  • Offer other treatment options
  • Continue to provide all other services
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10
Q

The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilites is from the?

A

American Hospital Association

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11
Q

What document explains the person’s rights and expectations during hospital stays?

A

The Patient Care Partnership

Understanding expectations, rights, and responsibilites

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12
Q

What is OBRA? What does it stand for?

A
  • Federal law applied in 50 states. A law set the minimum standards for quality of care in nursing centers
  • Omnibus Budget Reconciliation Act of 1987
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13
Q

Who enforces OBRA?

A

Centers of Medicaid & Medicare Services (CMS)

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14
Q

_____ Requires that nursing centers provide care in a manner and in a setting that maintains or improves each person’s quality of life, health, and safety

A

OBRA

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15
Q

What is a representative?

A

Is someone with the legal right to act on the patient’s or resident’s behalf when the person cannot do so alone

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16
Q

Nursing centers must inform residents of their rights ______ and in ______

A

Orally and in writing

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17
Q

Residents are informed of their rights, rules of their conduct, and responsibilities. When is this information given?

A

Given before or during admission to the center, as needed during the person’s stay, and when the laws or center rules change

18
Q

How can you promote the persons right to personal privacy? (3)

A
  • Close privacy curtains, doors, and window coverings
  • Remove residents from public view
  • Provide clothes or drape the person to prevent unnecessary exposure of the body parts
19
Q

Residents have the rights to make their own choices, this includes? (4)

A
  • Choosing doctors
  • Choosing friends and visitors
  • Helping to plan care and treatment
  • Choosing activities, schedules, and care
20
Q

What does personal choice promote?

A

Quality of life, dignity, and self-respect

21
Q

How is grievances related to the persons rights?

A

They have the right to voice concerns, questions, and complaints about treatment and care

22
Q

How is work related to the persons rights?

A

The person has the right to work or perform services if he or she desires

23
Q

How is resident groups related to the persons rights?

A

The right to form and take part in resident groups

24
Q

Residents have the right to keep and use personal items. The items allowed depend on?

A

Space needed and the health & safety of others

25
Q

For personal items, the person and family are advised to keep what at home?

A

Jewelry and costly items at home

26
Q

What is involuntary seclusion?

A
  • Separating a person from others against the person’s will
  • Keeping the person to a certain area
  • Keeping person away from room without his or her consent
27
Q

Who investigates and resolves complaints?

A

Ombudsman

28
Q

When are restraints used?

A
  • If required to treat medical symptoms
  • To protect resident from harming self or others
29
Q

Protecting residents rights promotes?

A

quality of life

30
Q

How can you improve the quality of life for a resident?

A
  • Providing care that maintains or enhances self-esteem and feeling of self-worth
  • Care promotes physical, social, and mental well-being
31
Q

How is environment related to the persons rights?

A

Resident has the right to a safe, clean, comfortable, and home-like setting

32
Q

The resident can have and use personal items to the extent possible, what does this promote?

A

Personal choice and home-like setting

33
Q

How are activities related to the persons rights?

A

They have the right to activities that enhance each person’s physical, mental, and psycho-social well-being

34
Q

What is an advocate?

A

Someone who acts or speaks on behalf of another person

35
Q

When do you as a CNA act as an advocate?

A
  • Respect and protect the person’s rights
  • Respect the person’s decisions and choices
  • Treat the person with dignity
  • Are attentive to the person’s needs, concerns, and requests
  • Promote safe setting for the person
  • Tell the nurse about concerns
36
Q

What is ombudsman?

A

Supports or promotes the needs and interests of another person

37
Q

What is the Older Americans Act?

A

Federal law that requires long-term care ombudsman program in every state

38
Q

________ are advocates for residents. They protect the person’s health, safety, welfare, and rights

A

Ombudsman

39
Q

When are ombudsman services useful? (2)

A
  • There is a concern about a person’s care or treatment
  • Someone interferes with a person’s rights, health, safety, or welfare
40
Q

Nursing centers must post conctact information for local and state _________

A

ombudsman

41
Q

Who protects the person’s health, safety, welfare, and rights? And also acts as an advocate for residents?

A

Ombudsmen