Question 1

In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the &#34;C&#34; of LACE represents?&#10;A)Commitment&#10;B)Consensus&#10;C)Certification&#10;D)Collaboration

Accepted Answer

The LACE model stands for Licensure, Accreditation, Certification, and Education. The "C" represents certification, which is an essential component of APRN regulation under the consensus model. Certification ensures that APRNs have met the required educational and clinical standards to practice in their specialized area of nursing.

Question 2

Which ethical principle is the foundation on which health care rests?&#10;A)Autonomy&#10;B)Nonmaleficence&#10;C)Beneficence&#10;D)Justice

Accepted Answer

Nonmaleficence, which means "do no harm," is a fundamental ethical principle in healthcare, ensuring that healthcare providers avoid causing harm to patients.

Question 3

Paternalism in health care:&#10;A)Assumes the physician knows what is best&#10;B)Is never warranted&#10;C)Is in effect after an informed consent is signed&#10;D)Requires a court order

Accepted Answer

Is never warranted

Question 4

An APRN's scope of practice includes all of the following statements EXCEPT:&#10;A)The scope of practice defines the duties and responsibilities of the APRN&#10;B)The scope of practice delineates the permissible boundaries of the professional practice&#10;C)The scope of practice is defined by statute, rule, or a combination of the two&#10;D)Each APRN defines his/her own scope of practice and includes it in their protocol

Accepted Answer

The statement "Each APRN defines his/her own scope of practice and includes it in their protocol" is not true. An APRN's scope of practice is defined by state statute, rule or regulation and cannot be defined independently by the APRN.

Question 5

Which board administers and defines advanced nursing practice in all states?&#10;A)The Board of Nursing&#10;B)The Board of Medicine&#10;C)The Board of Pharmacy&#10;D)It is different for each state.

Accepted Answer

The Board that administers and defines advanced nursing practice varies by state, meaning each state has its own regulatory body or board that oversees nursing practice.

Question 6

Which statement about the American Nurses Association Code of Ethics is accurate?&#10;A)The state's legal requirements exceed those of the Code of Ethics.&#10;B)The primary purpose of the Code is to show physicians that nurses are professional.&#10;C)The Code was formulated by physicians for all nurses.&#10;D)The Code sets forth the values and ethical principles that guide clinical decisions.

Accepted Answer

The Code of Ethics sets forth the values and ethical principles that guide clinical decisions, making it an important tool for ensuring patient safety and quality of care. The state's legal requirements and regulations may overlap with the Code, but they are not necessarily the same thing. The Code was developed by the American Nurses Association, not physicians, and its primary purpose is to guide nurses in their ethical practice, not to impress physicians or other healthcare professionals.

Question 7

Which type of liability insurance covers only situations in which the incident occurred and the claim was made while the policy was in effect?&#10;A)Claims made policy&#10;B)Occurrence policy&#10;C)An employment coverage policy&#10;D)A &#34;tail&#34; policy

Accepted Answer

A claims made policy only covers incidents that occurred and claims that were made while the policy was in effect. It does not cover incidents that occurred before the policy started or after it has ended. This type of policy is commonly used in professional liability insurance.

Question 8

Which ethical principle reflects respect for all persons and their self-determination?&#10;A)Autonomy&#10;B)Beneficence&#10;C)Justice&#10;D)Veracity

Accepted Answer

Autonomy is the ethical principle that reflects respect for all persons and their self-determination. It is the idea that individuals have the right to make their own decisions and choices, and that these decisions should be respected by others. Autonomy is an important principle in healthcare, as it recognizes that patients have the right to be involved in decisions about their own care and treatment.

Question 9

A situation that requires informed consent involves:&#10;A)Therapeutic privilege&#10;B)An emergency situation&#10;C)Invasive procedures&#10;D)The therapeutic use of placebos

Accepted Answer

Informed consent is required in cases of invasive procedures, such as surgery or biopsies, where the patient must fully understand the risks and benefits of the treatment before giving consent. This ensures that the patient is fully informed about the potential outcomes of the procedure and can make an autonomous decision about their own care. Therapeutic privilege allows the provider to withhold information in rare situations where revealing certain information would cause harm to the patient, but this is not a situation that requires informed consent. An emergency situation may limit the amount of information that can be provided, but informed consent is still ideal. The therapeutic use of placebos may also require informed consent, but this depends on the specific situation and ethical guidelines.

Question 10

The main mechanism for avoiding a lawsuit involves:&#10;A)Good liability insurance&#10;B)A collaborating physician&#10;C)Good documentation&#10;D)Open communication skills

Accepted Answer

The answer of The main mechanism for avoiding a lawsuit...

Question 11

Three components must be present to establish malpractice.Which one does NOT apply?&#10;A)The APRN must be paid for the services in question.&#10;B)The provider must have a duty to the patient.&#10;C)The standard of care must have been deviated from or breached.&#10;D)Harm or damages must have occurred as a result of the duty and a breach of the standards of care.

Accepted Answer

The answer of Three components must be present to establish...

Question 12

The Nurse Practice Act of each state is responsible for:&#10;A)Establishing the legal standards&#10;B)Promoting high-quality nursing care&#10;C)Protecting the public from unethical nursing practice&#10;D)Exceeding the requirements of the Code of Ethics for Nurses

Accepted Answer

The answer of The Nurse Practice Act of each state...

Question 13

Constructing a decision tree is helpful in analyzing ethical dilemmas, because a decision tree:&#10;A)Shows the best solution&#10;B)Explains the ethical principles&#10;C)Delineates the legal parameters&#10;D)Allows all the options to be considered

Accepted Answer

The answer of Constructing a decision tree is helpful in...

Question 14

The Institute of Medicine stresses interprofessional collaboration between physicians and APRNs.Which statement supports this?&#10;A)The physician supervises the APRN.&#10;B)The physician sponsors the APRN.&#10;C)There is a collegial relationship between the two providers.&#10;D)The physician pays the APRN's salary..

Accepted Answer

The answer of The Institute of Medicine stresses interprofessional collaboration...

Question 15

Deontology is:&#10;A)The greatest amount of happiness or the least amount of harm for the greatest number&#10;B)The consideration of consequences and the calculation of benefits&#10;C)The belief that the ends justify the means&#10;D)The principle of universalizability

Accepted Answer

The answer of Deontology is:&#10;A)The greatest amount of happiness or...

Question 16

The relationship between ethics and law is such that:&#10;A)What is ethical is also legal&#10;B)What is unethical is also illegal&#10;C)Legal actions may be both ethical and unethical&#10;D)There is no relationship between the law and ethics

Accepted Answer

The answer of The relationship between ethics and law is...

Question 17

The Joint Commission mandates that all health-care organizations have:&#10;A)A mechanism in place for the consideration of ethical issues&#10;B)An Ethics committee&#10;C)A resident parish nurse&#10;D)Legal counsel who is knowledgeable about ethics

Accepted Answer

The answer of The Joint Commission mandates that all health-care...

Question 18

Which insurance plan was the first to allow members to choose nurse practitioners as their primary care provider and pay them the same rate as physicians for the same care?&#10;A)Blue Cross/Blue Shield&#10;B)Medicare/Medicaid&#10;C)The Oxford Health Plan&#10;D)United Health Insurance

Accepted Answer

The answer of Which insurance plan was the first to...

Question 19

In an outpatient setting, what is the most common reason for a malpractice suit?&#10;A)Failure to treat a condition&#10;B)Failure to diagnose correctly&#10;C)Ordering the wrong medication&#10;D)Failure to manage care

Accepted Answer

The answer of In an outpatient setting, what is the...

Question 20

When may confidentiality be overridden?&#10;A)When personal information is available on the computer&#10;B)When a clinician needs to share information with a billing company&#10;C)When an insurance company wants to know the results of a breast cancer gene test&#10;D)When a patient has a communicable disease

Accepted Answer

The answer of When may confidentiality be overridden?&#10;A)When personal information...

Deck 21: Ethical and Legal Issues of a Caring-Based Practice