Question 1

A 46-year-old patient, unemployed and diagnosed with kidney disease, tells the nurse that he is having difficulty with his medical bills. What should the nurse do to help this patient?

Accepted Answer

As the patient is unemployed and cannot afford the medical bills, the nurse should refer the patient to social services to discuss Medicare as a health care coverage option. This could help alleviate the patient's financial burdens and ensure they have access to necessary medical care. Discontinuing medications or dosing every other day could compromise the patient's health and should not be suggested. Additionally, discharging the patient quickly without proper care could lead to readmission and further financial burden. Therefore, option C is the best choice.

Question 2

The nurse is a member of a committee that is studying the frequency of medication errors. Other committee members include a health care provider, pharmacist, pharmacy technician, and nurse manager. The nurse is most likely participating in which specific type of quality process?

Accepted Answer

The nurse is most likely participating in continuous quality improvement, which involves a team approach to identifying and addressing quality issues, such as medication errors, on an ongoing basis. Total quality management (A) and quality assurance (D) also involve quality improvement processes, but they may not involve as much collaboration among team members. Quality improvement (C) is a general term that can refer to any process aimed at improving quality, but it does not specify the ongoing, collaborative approach of continuous quality improvement.

Question 3

The nurse is reviewing activities to assess the quality of care provided for a group of patients. Which situation would be used to measure a process standard? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Process standards focus on the methods and procedures used in providing care. Option D involves the procedure of turning and repositioning patients, and option E involves the procedure of completing and documenting assessments by a specific time.

Question 4

The state board of nursing has notified a hospital about the changes in mandatory continuing education requirements for the nurses. The administration realizes these changes would impact which activity?

Accepted Answer

Mandatory continuing education requirements are related to licensure, as they are requirements that must be met in order to maintain an active nursing license.

Question 5

A patient in the emergency department required resuscitation, including administration of medications, blood products, and intravenous fluids. The next day, the patient threatens legal action because blood was administered without consent. What questions should the nurse manager ask when investigating this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A patient in the emergency department required...

Question 6

A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which nursing action is indicated?

Accepted Answer

The nurse should always respect the patient's autonomy and right to make decisions about their care. In this scenario, the patient has changed their mind about their treatment plan, and the nurse should facilitate a discussion with the healthcare provider to ensure that the patient's wishes are respected while also providing appropriate medical care.

Question 7

A patient brought into the emergency department tells the nurse that she does not need anything because she cannot pay for any health services. The nurse's assessment is that the patient is very ill and needs care. What nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A patient brought into the emergency department...

Question 8

A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?

Accepted Answer

Nonmaleficence is the ethical principle that requires healthcare providers to avoid causing harm or inflicting pain to the patient. In this situation, the nurse recognizes that the treatment is painful but necessary for the patient's healing and recovery, indicating adherence to the concept of nonmaleficence.

Question 9

A health care provider is reviewing the steps taken to address an ethical issue with a patient. Within which step of the MORAL model is this health care provider working?

Accepted Answer

The health care provider is reviewing the steps taken to address an ethical issue, which falls under the "Look back and evaluate" step of the MORAL model. This step involves reflecting on the actions taken and their outcomes, and determining if any corrections or improvements need to be made for future ethical dilemmas.

Question 10

A patient asks the nurse to promise that nothing bad will happen while the patient is under anesthesia for a surgical procedure. The patient is creating a conflict in which of the nurse's ethical principles? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A patient asks the nurse to promise...

Question 11

A patient tells the nurse manager that he is going to charge a nurse with battery for actions that occurred in the emergency department. Which characteristics of battery should the manager consider when formulating a response? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A patient tells the nurse manager that...

Question 12

A patient tells the nurse that her primary care provider wants her to see a specialist, but the specialist is out of the network and her deductible will be higher. The nurse realizes the patient is a member of which type of health care organization?

Accepted Answer

The higher deductible suggests that the patient is a member of a preferred provider organization (PPO), which allows patients to see out-of-network providers but typically at a higher cost. Medicare is a federal health insurance program for individuals over the age of 65 or with certain disabilities. Health maintenance organizations (HMOs) typically require patients to see only network providers and do not typically have deductibles. Independent practice associations (IPAs) are groups of physicians who contract with insurance companies or health care organizations to provide care to their members.

Question 13

At the end of a scheduled work shift, the nurse asks each of his patients if there was anything he could have done to make their day more comfortable. The nurse is most likely participating in which process?

Accepted Answer

The nurse is participating in quality improvement by seeking feedback from patients on how he can improve their care experience.

Question 14

A patient tells the nurse that if he does not wake up after surgery, his friend should be contacted because the friend knows what should be done concerning his health care needs. After referring to the patient's medical record, the nurse realizes that the friend has which relationship with the patient?

Accepted Answer

The friend has been designated as the patient's health care power of attorney, meaning they have been given the legal authority to make decisions about the patient's health care if the patient is unable to do so.

Question 15

The hospital benefits manager describes a health care program in which the nurse employee will pay a certain amount of money each month for comprehensive health services. The nurse will have a primary physician who will direct care within a specific network of providers. The nurse's heath care must be provided by these in-network physicians. The nurse will have which type of health care?

Accepted Answer

The description given in the scenario matches the features of a health maintenance organization (HMO), where the employee pays a fixed amount for health services and must receive care from physicians within a specific network. HMOs typically require a primary care physician to direct care and coordinate with specialists within the network.

Question 16

The nurse has been asked to join a group reviewing patient-focused functions in the hospital. Which situations would the nurse anticipate reviewing? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse has been asked to join...

Question 17

The health care team is confronted with an ethical dilemma surrounding the types of care available for a particular patient. The team decides to apply ethical principles to determine the best course of action for this patient. This is an example of which ethical theory?

Accepted Answer

The application of ethical principles to determine the best course of action for a patient is a hallmark of principlism, which emphasizes the importance of autonomy, beneficence, non-maleficence, and justice in medical decision-making. Deontological theories focus on duties and obligations, while utilitarianism and teleological approaches prioritize outcomes and consequences, respectively.

Question 18

The nursing staff at a local hospital are unable to get to work because of deteriorating weather conditions. The administration realizes the lack of staff to provide care will impact which quality standard?

Accepted Answer

The answer of The nursing staff at a local hospital...

Question 19

A patient is telling the nurse manager that she believes a wrongful act occurred when she was given the wrong medication. Which type of law would the nurse expect to address this issue?

Accepted Answer

Tort law addresses wrongful acts or infringements of rights leading to civil legal liability. Administering the wrong medication falls under this category as it involves a breach of duty of care, potentially causing harm to the patient.

Question 20

A patient tells the nurse that he had money in the top drawer of his bedside table that is now missing. He is phoning his attorney and plans to press charges. The nurse realizes this patient is planning to implement which type of law?

Accepted Answer

The patient is planning to press charges, indicating that he is pursuing criminal law. This is because the issue involves theft, which is a criminal offense. Option A (contract law) pertains to the enforcement of agreements between parties, option B (tort law) deals with civil wrongs (e.g. negligence), and option C (common law) refers to legal principles based on past court decisions.

Quiz 2: Legal, Ethical, and Regulatory Aspects of Health Care Delivery