Deck 26: Advanced Practice Nursing: The Nurse-Patient Relationship and General Ethical Concerns

Question 1

An advance practice nurse is obtaining consent for a patient who speaks German. Which individual would be the best choice for interpreting the information?

A) A nurse who took a course in German
B) The patient's son
C) A German teacher
D) A certified interpreter

Answer 1

D

Question 2

A(n) __________ provides healthcare providers with the decisions and treatment guidelines the patient wants to be executed in the event that they become incapacitated.

A) Do not resuscitate
B) Proxy decision maker
C) Advanced directive
D) Patient self-determination act

Answer 2

C

Question 3

A conflict of interest occurs when there is pressure to act in a way that does not protect the patient's/facility's best interest. Which scenario best describes a conflict of interest?

A) A nurse practitioner is friends with a pharmaceutical representative and prescribes all patients the company's antihypertensive even if the patient would benefit more from a different drug.
B) An advance practice nurse is ordering new equipment for the telemetry unit and reviews bids from a variety of companies to determine the best value.
C) An advance practice nurse is interviewing nurses to work on the intensive care unit, one of whom is a close friend of the CEO but has minimal experience. The advance practice nurse chooses the nurse with more critical care experience.
D) A nurse educator who serves on the textbook selection committee also reviews textbooks for a publishing company and recuses themselves from the final vote.

Answer 3

A

Question 4

The advance practice nurse receives results from an MRI indicating an elderly patient has cancer. The nurse decides not to tell the patient of the diagnosis, since their advanced directive states they would not undergo treatment for cancer. This violates which ethical principle?

A) Fidelity
B) Confidentiality
C) Veracity
D) Justice

Question 5

A nurse educator is teaching staff nurses about the dangers of social media in nursing. Which statement made by the staff nurse indicates an understanding of the teaching?

A) "I took care of a patient at Hospital Z in the ICU with a diagnosis of necrotizing fasciitis, so I shared my experience through the unit blog."
B) "My patient was being discharged so I took some pictures of us together and posted them on Facebook."
C) "One of my patients sent me a friend request on Instagram, but I denied their request."
D) "I had a patient with a really bad fracture of the tibia, so I took a picture of the x-ray and posted it to Twitter."

Question 6

A child requires a proxy decision maker who will make decisions on their behalf. This is typically a parent or guardian.

Question 7

A family nurse practitioner contacts a cardiologist to refer a patient for further evaluation. This is a violation of HIPAA.

Question 8

Describe the benefits of electronic health records (EHR) to the healthcare consumer.

Question 9

Discuss exceptions to the right to privacy/confidentiality.

Question 10

Describe interventions for effective communication when obtaining consent from a patient when there is a language barrier.