Nursing Ethics, Legal Issue & informatics

Question 1

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

1. Distributive
2. Procedural
3. Compensatory
4. General

Answer 1

1. Distributive

Question 2

When creating a password for computer usage, what are some important factors that should be kept in mind? Select all that apply.

1. Use combinations of letters, numbers, and symbols.
2. Don’t use words or numbers that are easy to guess.
3. Change passwords frequently.
4. Never share passwords with others.
5. Use the same password for multiple accounts so it is not forgotten

Answer 2

1. Use combinations of letters, numbers, and symbols.
2. Don’t use words or numbers that are easy to guess.
3. Change passwords frequently.
4. Never share passwords with others.

Question 3

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?

1. EMTALA/Emergency Medical Treatment Act
2. PSDA/Patient-Self Determination Act
3. HITECH/Health Information Technology For Economic Act
4. DPOA/Durable Power of Attorney

Answer 3

1. EMTALA

Question 4

What are steps to help avoid malpractice? Select all that apply.

1. Don’t blame or criticize other health-care providers.
2. Recognize “problem” clients.
3. Recognize significant assessment cues.
4. Know and follow standards of care.
5. Be sure medical equipment has been properly inspected.

Answer 4

1. Don’t blame or criticize other health-care providers.
2. Recognize “problem” clients.
3. Recognize significant assessment cues.
4. Know and follow standards of care.

Question 5

Which are forms of electronic communication? Select all that apply.

1. Email
2. Telephone
3. Text message
4. Telehealth
5. Interoffice memo

Answer 5

1. Email
2. Text message
3. Telehealth

Question 6

Which expectations are covered by the American Hospital Association Patient Care Partnership? Select all that apply.

1. High-quality care
2. No unexpected costs
3. Explanation of a diagnosis
4. Involvement in care
5. A clean and safe environment

Answer 6

1. High-quality care
2. Involvement in care
3. A clean and safe environment

Question 7

Which describes the ethical concept of fidelity?

1. Doing no harm and preventing harm
2. Duty to do or promote good
3. Duty to keep promises
4. Duty to tell the truth

Answer 7

3. Duty to keep promises

Question 8

Which describes an ethical dilemma?

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

Answer 8

2. A pregnant woman may miscarry if she takes a strong chemotherapy agent, but if she doesn’t, her cancer will progress quickly.

Question 9

Which are client privacy and security safeguards in an electronic medical record system? Select all that apply.

1. Passwords and PIN numbers
2. Having the client sign a release of information
3. Encrypting: use special code to view protected information
4. Workstation privacy filters
5. Not being able to share protected health information

Answer 9

1. Passwords and PIN numbers
2. Encrypting
3. Workstation privacy filters

Question 10

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?

1. Mandated reporting: suspected abuse/neglect
2. Bioethics
3. Whistleblowing: moral outrage and recognizing unsafe situation
4. Morals

Answer 10

3. Whistleblowing

Question 11

Which is a barrier to adoption of an electronic health record?

1. Higher risk for errors
2. Staff unable to learn to use an EHR
3. Cumbersome and time-consuming to use
4. Purchase and installation cost

Answer 11

4. Purchase and installation cost

Question 12

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

1. The client experiences conflict in some form./it is the foundation of ethical distress and confusion.
2. There is incongruent behavior between the client and the family.
3. Vitals signs are abnormal and the client appears to be in distress.
4. The physician and the client do not agree on the method of treatment.

Answer 12

1. The client experiences conflict in some form.

Question 13

Which is a description of nurses being able to apply standards of ethical conduct to professional practice and participate in ethical decision making?

1. Ethical agency (application of ethical principles to professional practice.)
2. Moral judgement (person’s own standard of right and wrong)
3. Whistleblowing
4. Ethical distress

Answer 13

1. Ethical agency

Question 14

Which are the purposes of the Health Insurance Portability and Accountability Act of 1996? Select all that apply.

1. Mandate the informed consent process before procedures.
2. Protect health insurance benefits for workers who change jobs.
3. Establish standards to protect client privacy and confidentiality.
4. Protect coverage for individuals with preexisting conditions.
5. Guarantee payment to health-care facilities by Medicare.

Answer 14

2. Protect health insurance benefits for workers who change jobs.
3. Establish standards to protect client privacy and confidentiality.
4. Protect coverage for individuals with preexisting conditions.

Question 15

Which are discrete entities that are described objectively without interpretation?

1. Data: raw, unprocessed numbers, symbols, or words that have no meaning by themselves
2. Knowledge: formed when data are grouped to provide meaningful information
3. Wisdom: clinical experience, theoretical knowledge, critical thinking, or intuition.
4. Information: groups of data processed into a meaningful, structured form

Answer 15

1. Data

Question 16

What is the mission of the Client Care Partnership?

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

Answer 16

1. It encourages health-care providers to be more aware of the need to treat clients in an ethical manner and to protect their rights.

Question 17

A nurse discharges a client without answering any questions or teaching him or her how to treat a wound care at home. What type of malpractice claim could be brought against this nurse?

1. Failure to implement a plan of care
2. Failure to assess and diagnose
3. Failure to plan
4. Failure to evaluate

Answer 17

1. Failure to implement a plan of care

Question 18

What are applications that allow for communication among several caregivers considered to be?

1. Integrated
2. Interfaced
3. Encrypted
4. Interactive

Answer 18

1. Integrated

Question 19

Which are elements of the Good Samaritan law? Select all that apply.

1. Care was provided in an emergency situation.
2. A person was harmed as a result of care provided.
3. Care was voluntary and payment was not provided.
4. A health-care provider is required to provide care in an emergency situation.
5. Care is provided in a reasonably competent manner.

Answer 19

1. Care was provided in an emergency situation.
2. Care was voluntary and payment was not provided.
3. Care is provided in a reasonably competent manner.