Deck 3: Ethics and Law
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Deck 3: Ethics and Law
1
The nursing student uses the patient's full name on the assigned care plan during a recent clinical rotation. What is the instructor's priority intervention?
1)Express the importance of factual documentation and that it should include the patient's name.
2)Remind the student of the importance of maintaining patient confidentiality.
3)Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue.
4)Explain to the student that because the patient was committed involuntary, confidentiality is not an issue.
1)Express the importance of factual documentation and that it should include the patient's name.
2)Remind the student of the importance of maintaining patient confidentiality.
3)Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue.
4)Explain to the student that because the patient was committed involuntary, confidentiality is not an issue.
2
2
The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?
1)"I cannot confirm or deny that Ms. Honey is admitted here."
2)"Ms. Honey is in group therapy at present."
3)"Hold on, I'll go see if she is in her room."
4)"Are you a family member? Ms. Honey can only receive calls from family members."
1)"I cannot confirm or deny that Ms. Honey is admitted here."
2)"Ms. Honey is in group therapy at present."
3)"Hold on, I'll go see if she is in her room."
4)"Are you a family member? Ms. Honey can only receive calls from family members."
1
3
A patient is expressing anger when the nurse attempts to make him take a medication, which he is refusing. If the nurse pushes to give the medication against his will, the nurse is:
1)Violating the patient's rights.
2)Achieving a treatment goal to get the medication in the patient any way possible.
3)Supporting the family's demand that he takes the medication.
4)Following orders from the charge nurse.
1)Violating the patient's rights.
2)Achieving a treatment goal to get the medication in the patient any way possible.
3)Supporting the family's demand that he takes the medication.
4)Following orders from the charge nurse.
1
4
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information. Which of the following are true about HIPAA (select all that apply)?
1)Only applies to an electronic chart, not the paper one
2)Provides national standards relating to the electronic transmission and communication of medical information among patients, providers, employers, and insurers
3)Allows less control on the part of the patient as to what part of health information is disclosed
4)Eliminates the need for patients to sign informed consents
5)Was implemented in 2003
1)Only applies to an electronic chart, not the paper one
2)Provides national standards relating to the electronic transmission and communication of medical information among patients, providers, employers, and insurers
3)Allows less control on the part of the patient as to what part of health information is disclosed
4)Eliminates the need for patients to sign informed consents
5)Was implemented in 2003
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5
The goals and objectives of the Joint Commission (JC) include (select all that apply):
1)Committing to quality on a daily basis within the entire facility.
2)Reducing risk of undesirable patient outcomes.
3)Encouraging continuous improvement.
4)Reducing health-care costs.
5)Promoting nursing education through scholarships and financial aid.
1)Committing to quality on a daily basis within the entire facility.
2)Reducing risk of undesirable patient outcomes.
3)Encouraging continuous improvement.
4)Reducing health-care costs.
5)Promoting nursing education through scholarships and financial aid.
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6
Immunity for citizens who stop to assist someone in need of medical help is protected by the Good ___________ Law.
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7
A mental health nurse bumps into one of the members from the church, who begins questioning the nurse about a former neighbor. The lady from the church asks the nurse, "How is Rachael? We have been friends for over 20 years, and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?" The nurse's response is:
1)"The HIPAA Act prevents me from disclosing any information about any patient."
2)"All I can say is she is seeing Dr. Leone."
3)"Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and feeling extremely depressed other times."
4)"Rachael was only there to renew her medication."
1)"The HIPAA Act prevents me from disclosing any information about any patient."
2)"All I can say is she is seeing Dr. Leone."
3)"Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and feeling extremely depressed other times."
4)"Rachael was only there to renew her medication."
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8
Another term for accepting responsibility is ________________.
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9
Patient's Bill of Rights includes the rights to (select all that apply):
1)Open mail.
2)Have privacy and visitors.
3)Treat staff in a disrespectful manner.
4)Have opportunities for daily exercise.
5)Choose one's own nurse.
1)Open mail.
2)Have privacy and visitors.
3)Treat staff in a disrespectful manner.
4)Have opportunities for daily exercise.
5)Choose one's own nurse.
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10
_____________________ relates to the study of how different cultures relate to space.
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11
The Nurse Practice _____ indicates the acceptable scope of nursing practice for the different levels of nursing.
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12
Another term to describe the ethical principle of veracity is _________________.
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13
The _________Commission is the leading national accrediting body of health care organizations.
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14
You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did before admission. What is your response?
1)"Since you are in America now, it would be best to acclimate to Western religious traditions."
2)"You can go back to your regular time for praying when you are discharged."
3)"How can I accommodate you with your prayer time?"
4)"Would you like to learn another prayer?"
1)"Since you are in America now, it would be best to acclimate to Western religious traditions."
2)"You can go back to your regular time for praying when you are discharged."
3)"How can I accommodate you with your prayer time?"
4)"Would you like to learn another prayer?"
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