Question 1

A certified nursing assistant (CNA) uses soft restraints to protect a resident from falling out of bed even though there was no order for their usage. On rounds several hours later, the resident is found not breathing, tangled, with the restraints around the neck. What is the responsibility of the LPN?

Accepted Answer

Negligence is the failure to take proper care in doing something, leading to damage or injury. In this scenario, the CNA's unauthorized use of restraints without an order, resulting in harm to the resident, constitutes negligence. The LPN, if aware and involved in the care process, could be considered negligent for not ensuring that the CNA followed proper protocols and for not monitoring the resident's safety.

Question 2

The nurse lives in Erie, Pennsylvania, but sees home care patients in New York, Pennsylvania, and Ohio. Which state licensure requirements should the nurse follow?

Accepted Answer

The nurse must follow the state licensure requirements of all the states (Ohio, New York, and Pennsylvania) where they see patients, as nursing practice is regulated at the state level, and licensure is required to legally practice in each state.

Question 3

The director of nursing is concerned that one staff nurse is at risk for liability issues when providing resident care. What did the director observe to make this decision? Select all that apply.

Accepted Answer

A,B,D,E

Question 4

A licensed practical nurse (LPN) finds a resident unresponsive, calls for help, and instructs the staff to call 911 and bring emergency supplies while setting up oxygen for the resident. What is this nurse guilty of doing?

Accepted Answer

The LPN acted within the scope of practice by responding to an emergency situation appropriately, calling for help, and ensuring that emergency supplies and oxygen were brought to the resident. This is consistent with the role of an LPN in providing immediate care and support in urgent situations.

Question 5

While making afternoon rounds the charge nurse sees a resident sitting in a geriatric chair with a tray. What should the nurse do?

Accepted Answer

The answer of While making afternoon rounds the charge nurse...

Question 6

The nurse is reviewing the Patient Care Partnership document. Which information should the nurse expect to find in this document? Select all that apply.

Accepted Answer

The answer of The nurse is reviewing the Patient Care...

Question 7

The LPN suspects that an older resident is being abused. Which action should the nurse take?

Accepted Answer

The nurse should report the incident to the appropriate authorities as it is a legal and ethical obligation to ensure the safety and well-being of the resident.

Question 8

The nurse is reviewing information about liability. Which should the nurse identify as a characteristic of a prudent, responsible nurse? Select all that apply.

Accepted Answer

The answer of The nurse is reviewing information about liability....

Question 9

The nurse reviews information with the Affordable Care Act (ACA). Which should the nurse identify that impacts Medicare? Select all that apply.

Accepted Answer

The ACA included more preventive services and reduced the cost of prescription drugs for Medicare beneficiaries.

Question 10

The nurse reviews the parts of Medicare with a resident who will be 65 years of age in a few months. Which parts should the nurse identify that are associated with a monthly premium? Select all that apply.

Accepted Answer

The answer of The nurse reviews the parts of Medicare...

Question 11

The nurse is caring for a resident who has a tendency to wander. Which can be used in place of restraints for this resident? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a resident...

Question 12

An older patient experiencing severe cancer pain is restless and refuses pain medication. Which is an ethical approach to this problem?

Accepted Answer

Discussing with the patient about their feelings regarding pain and medication respects their autonomy and helps understand their concerns, allowing for informed decision-making.

Question 13

During morning care an older male resident begins to masturbate. What should the CNA do?

Accepted Answer

Masturbation is a normal and private activity. The appropriate action is to provide privacy for the resident to complete the action, respecting their dignity and privacy needs. Leaving the resident alone is the most respectful and professional response in this situation.

Question 14

A resident of a nursing facility asks about Medicaid. Which should the nurse explain in response? Select all that apply.

Accepted Answer

Medicaid includes both acute and long-term care, and it is the largest payer for skilled nursing care. Unlike Medicare, it typically does not have monthly premiums or substantial co-payments for those who qualify based on income and disability status.

Question 15

The nurse is admitting a resident to a nursing facility. Which action should the nurse take when enforcing the Patient Self-Determination Act of 1990? Select all that apply.

Accepted Answer

The Patient Self-Determination Act of 1990 requires healthcare providers to inform patients of their rights to make decisions about their medical care, including the right to accept or refuse treatment and the right to make advance directives. Advance directives include living wills and durable powers of attorney for healthcare, which allow individuals to make decisions about their healthcare in the event that they are unable to communicate their wishes. Asking if the resident has a living will (A), if they have advance directives (B), and if they have a durable power of attorney (D) are actions that enforce the Patient Self-Determination Act by ensuring patients are informed and their wishes are documented and respected.

Quiz 5: Legal, Ethical, and Financial Considerations