Question 1

Which of the following elements must be included in an informed consent?

Accepted Answer

C

Question 2

Which of the following elements must be present when evaluating a patient's decision-making capacity?

Accepted Answer

The ability to communicate understanding is a crucial element when evaluating a patient's decision-making capacity as it ensures that the patient fully comprehends the information provided to them and can make an informed decision based on their understanding. The other options listed may be important in certain contexts, but they are not fundamental components of decision-making capacity evaluation.

Question 3

What does a nurse's advocacy role regarding a patient's advance directives (AD) include?

Accepted Answer

D

Question 4

Which law states that active euthanasia and assisted suicide are both illegal and that taking part in them is against the law, even if carried out for merciful intentions or relieve suffering?

Accepted Answer

The Criminal Code of Canada explicitly states that active euthanasia and assisted suicide are illegal and criminal offenses, even if done with the intention of relieving suffering or ending a patient's life in a merciful manner. This law imposes strict penalties on individuals who participate in or assist in such actions.

Question 5

A nurse is injured with a percutaneous exposure of blood while on duty. The nurse wishes to have the patient tested for HIV; however, the patient refuses. Which of the following statements best summarizes testing issues related to HIV?

Accepted Answer

In most countries, it is illegal to perform HIV testing without the patient's consent. The patient has the right to refuse testing, and the nurse must respect that decision. The nurse should follow the appropriate protocol for reporting the exposure and seek medical attention without waiting for the test results. The nurse should also receive post-exposure prophylaxis and be monitored for infections.

Question 6

Which of the following actions are part of the nurse's role and responsibilities in informed consent?

Accepted Answer

The answer of Which of the following actions are part...

Question 7

What is the legal protection of a patient's right to personal autonomy called?

Accepted Answer

The legal protection of a patient's right to personal autonomy is called informed consent. It refers to the process of providing patients with information about their medical condition, the risks and benefits of different treatment options, and obtaining their permission before proceeding with any medical intervention. This protects a patient's right to make their own decisions about their health and ensures that they have the information necessary to do so. Paternalism involves making decisions for a patient without their consent, advanced directives allow patients to express their wishes for medical care in advance, and competence refers to a patient's ability to make decisions for themselves.

Question 8

What is the definition of competence?

Accepted Answer

The answer of What is the definition of competence?
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Question 9

Which source document acknowledges the importance of living wills and clearly identifies promoting and respecting informed decision making?

Accepted Answer

The Code of Ethics acknowledges the importance of living wills and emphasizes promoting and respecting informed decision-making.

Question 10

A patient asks the surgeon what will be gained by having the procedure and the surgeon does not respond. Which patient right is being violated?

Accepted Answer

The patient's right to informed consent is being violated, as they have not been given adequate information to make an informed decision about the procedure.

Question 11

A nurse is caring for a patient with cancer who describes using ozone therapy and mega intravenous doses of vitamin C as part of her treatment. Which of the following nursing actions would take into consideration the patient's ability to self-determination?

Accepted Answer

The nurse should honour the patient's right to self-determination and autonomy, allowing them to choose their own treatments. It is important to provide accurate information and support the patient in making informed decisions, but ultimately it is their choice to pursue alternative therapies.

Question 12

When a nurse discusses a patient's condition and treatment with family members who were not authorized to have medical information disclosed to them, what principle is the nurse breaching?

Accepted Answer

The nurse is breaching the principle of confidentiality by sharing medical information with family members who were not authorized to have access to the information. This is a violation of the patient's right to privacy and confidentiality.

Question 13

A nurse encourages a patient to take narcotics for severe cancer pain. The patient is concerned about the possible side effects. The nurse gives the patient the narcotic and tells the patient; "It's for your own good and it's important to get your pain under control." What is the nurse's behaviour an example of?

Accepted Answer

The nurse is displaying paternalism by making decisions for the patient without fully acknowledging the patient's concerns about potential side effects.

Question 14

What is the purpose of a patient completing a living will?

Accepted Answer

Completing a living will allows a patient to identify a proxy or substitute decision-maker who can make medical decisions on their behalf if the patient is unable to do so. This ensures that the patient's wishes regarding their medical treatment are respected and followed.

Question 15

A patient is refusing to participate in his plan of care. The nurse is aware that the patient's refusal will negatively affect his health outcome. According to the Canadian Nurses Association Code of Ethics, what must the nurse take into consideration?

Accepted Answer

According to the Canadian Nurses Association Code of Ethics, the nurse must ensure that the quality of nursing care is not affected even if the patient refuses to participate in his plan of care. The nurse must also take into consideration the patient's right to make decisions about his own health care. Therefore, the nurse should explore the patient's reasons for refusal and work together with the patient to find an alternative approach, if possible. The nurse should also document the patient's refusal and any discussions held about it.

Quiz 11: Practice Issues Related to Patient Self-Determination