Module 3 Flashcards

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1
Q

Within the text, there is the suggestion that there will be a need for huge improvements in healthcare related to the age of our population for which of the following reasons?

A

The baby boomers will soon be in need of long-term care services

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2
Q

The Patient Protection and Affordable Care Act of 2010 (ACA 2010) resulted from which of the following?

A

Bills that were introduced in Congress in 1980 and 1990

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3
Q

The nurse is assessing a patient at the hospital for long-term care needs and found the patient requires help with toileting and bathing only. The nurse should classify the patient as needing which of the following?

A

activities of daily living (ADLs) dependent

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4
Q

Which of the following is one of the major goals of palliative care programs?

A

To meet the patient’s needs by providing special staff

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5
Q

Which of the following societal adjustments may justify a demand for increased governmental support to pay for long-term care in the future?

A

A lack of traditional family structure

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6
Q

A 55-year-old patient had a stroke with left-sided paralysis, requires long-term care, but has no insurance and lives paycheck to paycheck on a single-person income which will no longer exist. The patient would be eligible for which of the following types of payment options for the long-term care?

A

Medicaid

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7
Q

Which of the following applies most to the reason why long-term care lacks an appropriate amount of funding?

A

Programs that have been proposed have been deemed far too costly and never get voted into law

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8
Q

Which of the following applies to the rebirth in cost-cutting measures for Medicare and Medicaid?

A

The repeal of the CLASS Act

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9
Q

True or False? The U.S. Congress enacted legislation that lead to hospice care throughout the United States.

A

True

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10
Q

The HEC is investigating a case in which a patient’s competency and ability to give informed consent has been called into question. Which individual should the HEC consult to determine specifically how the principles of ethics apply to the situation?

A

an ethicist

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11
Q

Why is the involvement of HECs necessary in the area of resource allocation?

A

Hospitals do not have enough funding to meet all demands and must make ethically complex decisions about how scarce resources are allocated

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12
Q

Which member of the ethics committee is responsible for understanding and presenting the patient’s view of a healthcare situation?

A

social services representative

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13
Q

Which step would an ethics committee following Nelson’s multistep model take first?

A

Define the conflict and the ethical question involved

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14
Q

A physician begins to experience headaches and fatigue and is uncharacteristically irritable both at the hospital and at home. When asked about work, the physician expresses frustration at staffing shortages leading to delays in care implementation and patient discomfort. The physician is exhibiting signs of which phenomenon?

A

moral distress

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15
Q

Which is an anticipated impact of the aging baby boomer generation on healthcare providers?

A

More healthcare providers will be needed to care for baby boomers, but fewer providers will be available as baby boomers retire

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16
Q

True or False? A primary challenge faced by HEC educators is convincing staff of the need for and benefits of ethics training.

A

True

17
Q

True or False? A hospital’s IRB might determine that an experimental treatment poses too many risks relative to the potential benefit to the patient and recommend that the treatment not be offered at that facility.

A

True

18
Q

True or False? Hospitals do not include clergy members on ethics committees unless the hospital is a faith-based institution.

A

False

19
Q

True or False? A nurse reporting concerns about lax charting by members of the patient care staff is showing signs of moral residue.

A

False

20
Q

With the aging of the baby boomers, demand for quality long-term care will …

A

increase