Deck 10: Safeguarding Patient Rights

Question 1

A competent patient in the nurses' care becomes angry, insists on leaving against medical advice, and refuses to sign the waiver acknowledging that he has been advised that leaving is not recommended at this time. What should the nurse do?

A) The nurse should call security to restrain the patient.
B) The nurse should let the patient go but alert the police.
C) The nurse should refuse to give the patient his personal effects.
D) The nurse should allow the patient to leave.

Answer 1

The nurse should allow the patient to leave.

Question 2

Most provinces have enacted legislation regulating access to personal health information. What is the main purpose of information and privacy legislation?

A) To protect health workers from malpractice suits
B) To serve as an ethical decision-making framework for the disclosure of information
C) To establish rules for the collection, use, and disclosure of personal health information
D) To protect hospitals and health authorities

Answer 2

To establish rules for the collection, use, and disclosure of personal health information

Question 3

With the exception of indigenous children, who are covered under the Indian Act, if a physician or the team believes that the decisions of a parent or substitute decision maker put a child at risk and in need of protection, there is an obligation to report this to the Children's Aid Society (CAS), who will undertake an investigation and determine the child's need for protection.

Answer 3

False

Question 4

The nurse is in the process of obtaining informed consent from a patient. Which of the following best describes this process?

A) The nurse's right
B) The nurse's autonomy
C) The nurse's obligation
D) The patient's obligation

Question 5

A resident in the operating room should be allowed to participate in all aspects of a surgery because the patient signed a general surgical consent form.

Question 6

What immediate action should a nurse take if a medication error results in harm to a patient?

A) The nurse should immediately disclose the error to the patient and the patient's family.
B) The nurse should inform the physician of the patient's condition.
C) The nurse should discuss the issue with her manager.
D) The nurse should discuss the issue with her coworkers so that she feels supported.

Question 7

The Indian Act gives the government responsibility and oversight for the Indigenous peoples of Canada with regard to such matters as status, land, administration, resources, and education.

Question 8

First responders across Canada are required to initiate cardiopulmonary resuscitation (CPR) efforts on all persons when they receive 911 calls to their homes.

Question 9

What should the nurse do if a patient asks to see her medical record?

A) The nurse should give the patient her medical record because freedom of information legislation permits it.
B) The nurse should give the patient her medical record because it legally belongs to the patient.
C) The nurse should ask the charge nurse to review the chart with the patient.
D) The nurse should refer the patient to the physician or the medical records department.

Question 10

A patient in the nurse's care is being investigated for diarrhea. The nurse remembers this patient from another facility and recalls that he was diagnosed as HIV-positive, but the patient denies this to the nurse. How should the nurse proceed?

A) The nurse should do nothing.
B) The nurse should tell her colleagues to be extra careful when attending to this patient.
C) The nurse should confront and challenge the patient about his dishonesty.
D) The nurse should report this information to her manager in a private meeting.

Question 11

Which of the following issues offer the greatest ethical concerns when nurses care for transgender persons?

A) Privacy
B) Making assumptions made about their needs
C) Disrespect from other clients
D) All of the above

Question 12

A patient in the nurse's care is unaware of her diagnosis of terminal cancer and asks the nurse about it. The patient's physician is refusing to give her the diagnosis because he is concerned about her reaction to the news. The nurse should be honest with the patient and tell her what the diagnosis is.

Question 13

A patient has requested that certain information remain confidential. Which of the following is an exception to maintaining patient confidentiality?

A) The nurse must disclose the information to the unit manager.
B) The nurse can disclose to the patient's family in order validate the accuracy of the information.
C) The nurse can disclose the information during morning report.
D) The nurse must disclose the information if someone is in danger.

Question 14

What is the purpose of a mental health act?

A) To ensure that everyone with a mental illness will be treated
B) To protect the rights of the public
C) To protect the rights of the patient
D) To outline rights and obligations for health care professionals and patients

Question 15

Which of the following best describes a "right"?

A) A legal claim or privilege
B) A claim or privilege to which one is justly entitled, either legally or morally
C) A claim or privilege that carries no corresponding obligations
D) The rights of patients are a grey area open to interpretation