Question 1

What may be included in tort reform legislation as it pertains to health-care workers and institutions? (Select all that apply.?

Accepted Answer

Limiting dollar amounts for damages would limit the financial burden on healthcare workers and institutions. Requiring expert medical evaluation before a lawsuit is filed would prevent frivolous lawsuits. Shortening the time in which a patient may file a lawsuit would prevent stale claims that are difficult to defend against. Acquiring individual malpractice or liability insurance, reading institutional policies before procedures, and requiring continuing education for caregivers may not pertain specifically to tort reform legislation, but may still be important factors in reducing malpractice claims.

Question 2

The LPN is working in a senior center and is approached by a participant who asks the nurse, "Can you help me understand my Medicare benefits?" The nurse would base a response on which of the following? (Select all that apply.?

Accepted Answer

Medicare is a federally funded program for individuals 65 and over (A). Medicare Part A covers inpatient hospital care and is free to those who qualify for Social Security (D). Medicare Part B covers outpatient services and has a monthly cost (E). Prescription drug coverage for those with Medicare coverage is available (F). Medicare does not base payment on current medical diagnosis (C). Medicare is not a payment system for the working poor (B).

Question 3

A nurse is working on a medical unit in a hospital undergoing a Joint Commission review. The investigator asks the nurse to explain "never events." Which of the following could be included in the nurse's reply? (Select all that apply.?

Accepted Answer

Never events are serious reportable adverse events that should never occur to a patient, and are considered sentinel events that are devastating to patients. Hospitals will not be paid or reimbursed by Medicare/Medicaid for treatment related to never events. Institutional policies and procedures are in place to promote patient safety and prevent the occurrence of never events. The statement that never events result in the nurse or physician never being allowed to practice again is not accurate. The statement regarding a new Joint Commission policy related to bioterrorism or other catastrophic events that will probably never happen is also not accurate.

Question 4

The principle of ________________is the obligation to be faithful to commitments made to self and others.

Accepted Answer

The answer of The principle of ________________is the obligation to...

Question 5

Which law/act/regulations have been established nationally to protect a patient's medical and personal information?

Accepted Answer

The Health Insurance Portability and Accountability Act (HIPAA) was established nationally in 1996 to protect a patient's medical and personal information. It provides strict guidelines for healthcare providers to safeguard an individual's healthcare data and requires obtaining patients' consent before disclosing their information to others.

Question 6

Which of the following is included in The National Council of State Boards of Nursing's (NCSBN) five rights of delegation? (Select all that apply.?

Accepted Answer

The National Council of State Boards of Nursing's (NCSBN) five rights of delegation include the right communication, right circumstances, right person, and right supervision. The right day and right place are not included as part of the five rights.

Question 7

The nurse is performing a procedure while caring for a patient and unintentionally eliminates a step in the procedure. Which of these may result from the nurse's action? (Select all that apply.?

Accepted Answer

By eliminating a step in the procedure, the nurse has breached their duty and committed an unintentional tort, which could be considered negligence. The nurse's actions could lead to civil liability for their employer. However, there is still a possibility of personal liability depending on the circumstances. Therefore, options B, C, D, and E are applicable. Option A, "No personal liability," is not correct as it cannot be determined without knowing the specific circumstances that led to the nurse eliminating a step in the procedure. Option F, "Assault and battery," is not applicable as it does not pertain to the situation described.

Question 8

While standing in the lunchroom, the nurse recognizes friends of a patient who was recently transferred to the intensive care unit (ICU). The nurse approaches them saying, "Did you know that Mr. Robinson had to go to ICU? I can take you there if you are looking for him." This action is an example of which of the following?

Accepted Answer

This action is an example of Disclosure of Confidential Information because the nurse shared the patient's health status and location without the patient's consent, violating patient confidentiality.

Quiz 3: Issues in Nursing Practice