chapters 44-45 Flashcards by Bethann Boluch

Michelle is in grave condition after an automobile accident. The nurse knows he cannot give a status update to her sister calling from out of state.
What is this an example of?
A - Health Insurance Portability and Accountability Act (HIPAA)
B - Emergency Medical Treatment and Active Labor Act (EMTALA)
C - Patient Self-Determination Act (PSDA)
D - Americans With Disabilities Act (ADA)
E - Good Samaritan Law
F - American Nurses Association Code of Ethics
G - Patient Care Partnership
H - Standard of Practice
I - Nurse Practice Acts
J - Scope of Practice

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Jason just vomited blood but is hesitant to go to the emergency department because he does not have insurance. He tells this to the admitting nurse, who assures him he won’t be turned away from medical care.

What is this an example of?
A - Health Insurance Portability and Accountability Act (HIPAA)
B - Emergency Medical Treatment and Active Labor Act (EMTALA)
C - Patient Self-Determination Act (PSDA)
D - Americans With Disabilities Act (ADA)
E - Good Samaritan Law
F - American Nurses Association Code of Ethics
G - Patient Care Partnership
H - Standard of Practice
I - Nurse Practice Acts
J - Scope of Practice

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Josephine wants to make her own decisions about her end-of-life care. She talks to her significant other about creating a living will and durable power of attorney.

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The nurse, Suzie, has an allergy to latex. Her employer replaced all latex products used on the unit with non-latex substitutions so Suzie will not get sick.

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Henry, a nurse, is driving home from work when there is a major motor vehicle accident in front of him. He runs to the side of the driver, finding him bleeding from the nose and mouth. Henry calls 911 and begins treating the driver after receiving consent.

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Harriet accepted money from a client as a “thank you” gift. Her employer found out and fired her.

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Johnston would like to better understand his hospital bill. He calls the hospital and the billing department suggests he meet with a representative and have it explained.

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Calvin is considering a transfer to the interventional radiology department. He’s unfamiliar with the expectations in the nursing role within that department and looks for practice guidelines.

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Annie is planning to move to another state. She looks at the Board of Nursing website to explore that state’s regulations for registered nurses.

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The newly graduated nurse is supervising licensed practical nurses and certified nursing assistants. It is important to understand the role of each person.

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The nurse is explaining the Health Insurance Portability and Accountability Act to a group of new employees. What should the nurse include when explaining its purpose? Select all that apply.

A - Provides personal health information privacy
B - Protects family members
C - Provides transferability of insurance to others
D - Protects those with preexisting conditions
E - Protects health insurance benefits

A
D
E

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A client is asking about developing a living will. What act protects this right?

A - Health Insurance Portability and Accountability Act
B - Patient Self-Determination Act
C - Americans With Disabilities Act
D - Emergency Medical Treatment and Active Labor Act

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The nurse performs care on an unconscious person at the grocery store. What law protects the nurse in this situation?

A - American Nurses Association Code of Ethics
B - Medical Treatment and Active Labor Act
C - Nurse practice acts
D - Good Samaritan laws

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What factors contribute to a person’s ethical beliefs? Select all that apply.

A - Morals
B - Attitudes
C - Beliefs
D - Career
E - Values

A
B
C
E

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Which guidelines are established for nursing practice? Select all that apply.

A - Standards of Practice
B - Scope of Responsibility
C - Manual of Labor
D - Patient Care Partnership
E - Nurse practice acts

A
D
E

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How can a nurse recognize a client is struggling with an ethical issue?

A - The client experiences conflict in some form.
B - There is incongruent behavior between the client and the family.
C - Vitals signs are abnormal and the client appears to be in distress.
D - The physician and the client do not agree on the method of treatment.

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Fair access to care and allocation of resources are examples of what type of justice?

A - Distributive
B - Procedural
C - Compensatory
D - General

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What is the mission of the Patient Care Partnership?

A - It encourages health-care providers to be more aware of the need to treat clients in an ethical manner and to protect their rights.
B - A client’s values, preferences, need for information, and other factors that promote autonomy must be considered in the plan of care.
C - It states that ethical behavior in care, treatment, services, and business practices should be maintained at all times.
D - It addresses the nurse’s responsibilities to clients and directs nurses to contribute to the establishment and maintenance of an ethical environment.

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What would be an appropriate nursing diagnosis for a client who is uncertain about which course of action to take in his or her treatment?

A - Decisional Conflict
B - Moral Distress
C - Values Clarification
D - Value/Belief/Action Congruence

What is an appropriate nursing intervention for moral distress?

A - Self-manage emotions; discuss moral distress with a mentor if you are having difficulty
B - Decreased anxiety level
C - Assess nature of the action and likelihood of immediate harm
D - Self-determination; to choose and act on that choice

Which nursing value describes the right to self-determination and to choose and act on that choice?

A - Altruism
B - Autonomy
C - Human dignity
D - Integrity

When using the MORAL model for ethical decision making, what principles will help the nurse to function effectively as an advocate?

A - Know and document facts.
B - Know the argument.
C - Avoid getting into a power struggle.
D - Be aware of client vulnerability.
E - Assess the group’s willingness.

A
B
C
D

What is one major drawback of applying the Golden Rule way of thinking when addressing a client’s wishes?

A - It is presumptuous in that nursing actions may not really be what the client wants.
B - It removes all grounds for client autonomy.
C - It removes the family from decision making.
D - It blurs the role of nurse, advocate, and ethical decision making.

Nurse practice acts are an example of what type of law?

A - Statutory
B - Administrative
C - Common
D - Constitutional

A 49-year-old uninsured and unemployed client arrives at the emergency department of the local private hospital closest to home complaining of chest pain radiating between the shoulder blades, tightness in the neck, and nausea. The triage nurse calls the on-call provider, who instructs the nurse to send the client to the county hospital several blocks away. What federal law protects this client against refusal of care at the private hospital? A - EMTALA B - PSDA C - HITECH D - DPOA

A nurse has been caring for a client and appears to make excessive visits to the client’s room. The nurse states he or she has the best understanding of the client’s needs while behaving as if no one else can care for the client. When asked about this behavior, the nurse becomes defensive. What could possibly be the issue in this scenario? A - Potential boundary issues B - Possible substance abuse issues C - Infraction of statutory law D - Unclear scope of practice

A nurse taking care of a client who has been involved in a motor vehicle accident while intoxicated is an example of which principle? A - Morals B - Ethics C - Legal D - Policy

Which questions are examples of bioethics considerations? Select all that apply. A - Should a client be allowed to die? B - Should a nurse practice outside of scope? C - Should a nurse question an order? D - Should a nurse sign with “RN” following her name? E - Should a client be told about a medical error?

A C E

A nurse suspects a colleague is taking a client’s narcotics. The colleague has been behaving erratically at work and his or her clients complain of uncontrolled pain. The nurse reports this concern to the colleague’s supervisor. Which is this an example of? A - Mandated reporting B - Bioethics C - Whistleblowing D - Morals

Which is a description of nurses being able to apply standards of ethical conduct to professional practice and participate in ethical decision making? A - Ethical agency B - Moral judgment C - Whistleblowing D - Ethical distress

Which are examples of beliefs? Select all that apply. A - Elderly people cannot provide a good medical history. B - A family should be told if a medical error occurs. C - A nurse should not be allowed to work while impaired. D - A person should not accept blood or blood products from another person. E - Arriving 15 minutes before shift will give the appearance of dedication.

A D E

Which consequentialist theory requires a risk-benefit analysis? A - Deontology B - Utilitarianism C - Whistleblowing D - Conflict of universal principles

Which describes the ethical concept of fidelity? A - Doing no harm and preventing harm B - Duty to do or promote good C - Duty to keep promises D - Duty to tell the truth

Which describes an ethical dilemma? A - A client refuses treatment for cancer, stating that his or her religious beliefs forbid it. B - A pregnant woman may miscarry if she takes a strong chemotherapy agent, but if she doesn’t, her cancer will progress quickly. C - A nurse catches a coworker diverting drugs, and the coworker asks him or her not to tell anyone. D - A charge nurse asks a staff nurse to stay and work late, but the nurse has plans that evening.

Which regulation requires health-care facilities to provide emergency care to clients who seek health care regardless of ability to pay? A - Health Insurance Portability and Accountability Act B - Client Self-Determination Act C - Durable power of attorney for health care D - Emergency Medical Treatment and Active Labor Act

Which are the purposes of the Health Insurance Portability and Accountability Act of 1996? Select all that apply. A - Mandate the informed consent process before procedures. B - Protect health insurance benefits for workers who change jobs. C - Establish standards to protect client privacy and confidentiality. D - Protect coverage for individuals with preexisting conditions. E - Guarantee payment to health-care facilities by Medicare.

B C D

Which represents an Americans with Disabilities Act (ADA) accommodation? A - A nurse has chronic back pain and is terminated from his or her position. B - A nursing mother returns to work and is given a lactation area for pumping breast milk. C - A nurse who has had a stroke is not physically able to perform client care and is given a position in scheduling, with an associated pay cut. D - A nurse adopts a baby and is given maternity leave.

Which are elements of the Good Samaritan law? Select all that apply. A - Care was provided in an emergency situation. B - A person was harmed as a result of care provided. C - Care was voluntary and payment was not provided. D - A health-care provider is required to provide care in an emergency situation. E - Care is provided in a reasonably competent manner.

A C E

Which expectations are covered by the American Hospital Association Patient Care Partnership? Select all that apply. A - High-quality care B - No unexpected costs C - Explanation of a diagnosis D - Involvement in care E - A clean and safe environment

A D E

Which civil laws deal with wrongs done by one person to another without a contract involved? A - Tort laws B - Criminal laws C - Assault D - Misdemeanor

A client is placed under involuntary confinement for suicidal ideation. During this time, the nurse applies restraints to insert a urinary catheter. Which situation has occurred? A - Neglect B - Fraud C - Assault D - False imprisonment

Which are examples of negligence? Select all that apply. A - A nurse inadvertently giving a wrong dose of a medication B - A nurse documenting vital signs in a medical record when they have not been taken C - A nurse not turning and repositioning a bedridden client, resulting in the development of bedsores D - A nurse not administering pain medications as needed for a hospice client E - A client falling after the client has called for assistance in getting up, for which nobody responded after 25 minutes

C D E

After assessing a client who has just been weaned from the ventilator, the nurse determines the client is not yet able to ambulate and does not follow the physician’s order. What protects the nurse from being terminated or disciplined for not following orders? A - Safe harbor laws B - Good Samaritan laws C - Professional liability D - Nurse practice acts

What are steps to help avoid malpractice? Select all that apply. A - Don’t blame or criticize other health-care providers. B - Recognize “problem” clients. C - Recognize significant assessment cues. D - Know and follow standards of care. E - Be sure medical equipment has been properly inspected.

A B C D

A client has called the nurse to the room several times over the course of the past hour because he or she keeps getting up and wandering and is having difficulty getting back into bed. On the last visit to the client, the nurse gives the client a sedative to cause drowsiness. What can this treatment be considered? A - False imprisonment B - Assault C - Battery D - Quasi-intentional tort

A nurse discharges a client without answering any questions or teaching her how to treat a wound at home. What type of malpractice claim could be brought against this nurse? A - Failure to implement a plan of care B - Failure to assess and diagnose C - Failure to plan D - Failure to evaluate