Deck 3: Legal, regulatory, and Ethical Issues

Question 1

Which is a coping method that may help OR team members when a patient dies?

A)Identify with the loss
B)Identify those responsible for the patient death
C)Reduce the dependence on teamwork to maintain patient safety in a crisis
D)Take ownership for the patient death and review actions with risk management team

Answer 1

A
Coping methods include realization that everyone involved is part of a team effort; believe in a power greater than the skills of the team; share feelings with others; identify personally with the loss; attend a support group to help deal with the loss; and visit with the hospital chaplain or rabbi.

Question 2

The person who initiates a lawsuit is a defendant.

Answer 2

False
The person who initiates a lawsuit is known as a plaintiff.

Question 3

A "Never Event" as defined by CMS includes:

A)bariatric surgical procedure.
B)myocardial infarction.
C)poor blood sugar control.
D)coronary artery disease.

Answer 3

C
Poor blood sugar control is an event that CMS deems not to be consistent with quality patient care rendered to hospitalized individuals.

Question 4

Who obtains the informed consent for a surgical procedure?

A)Perioperative nurse
B)Surgeon/physician
C)Scrub person
D)Head nurse

Question 5

Which component is included in an informed consent?

A)Risks and benefits
B)Cost of surgery
C)DNR orders
D)Length of hospital stay

Question 6

Which is one of the four "D's" of malpractice?

A)Deviation of duty by omission
B)Demonstration of standards of care
C)Damage to subcutaneous tissue
D)Divided surgical care of the patient.

Question 7

Which is an example of a reportable sentinel event?

A)Surgery on the wrong site
B)Any near miss
C)Going into surgery 3 hours late
D)Unsuccessful suicide attempt

Question 8

Which best describes a DNR order?

A)Does not hold up in the OR
B)Patients cannot have surgery
C)Before going to the OR, the DNR order should be clarified
D)Does not hold up in an emergency

Question 9

When a mishap occurs in patient care,the cause of the event is compared with other cases similar to that one.

Question 10

One of AST's Codes of Ethics for surgical technologists is to always maintain the highest standards of professional conduct and patient care.

Question 11

Negligence is

A)professional misconduct.
B)unreasonable lack of skill.
C)the failure to use care or skills that any caregiver in a similar situation might use.
D)illegal or immoral conduct.

Question 12

Which is a charting modality used to document patient care?

A)Hand-off reporting
B)Verbal report
C)Block charting
D)Paper and pen charting

Question 13

Who can be named in a lawsuit?

A)The patient
B)Any caregiver
C)The head nurse
D)The surgeon

Question 14

A 17-year-old mentally competent person can execute a living will or an advance directive.

Question 15

National Patient Safety Goals were implemented by the Joint Commission to keep patients safe.

Question 16

Professional associations do not recommend that health care workers carry professional liability insurance.

Question 17

Assault is an unlawful physical threat to harm another person.

Question 18

When writing an incident report,it is acceptable to include interpretations and opinions.

Question 19

Which is a benefit of EMR in the hospital setting?

A)Documentation can be transmitted to multiple caregivers quickly.
B)Patients can ask for copies of their health care records.
C)Everyone can view the health care records of any patient within a particular facility.
D)Laboratory results are hard to decipher when downloaded.

Question 20

Euthanasia is derived from the Greek words meaning "harsh or painful death."

Question 21

____________________ consists of leaving the patient for any reason when the patient's condition is contingent on the presence of the caregiver.