Davis - Nursing Ethics and Legal Issues, Exam 3

The newly graduated nurse is supervising licensed practical nurses and certified nursing assistants. It is important to understand the role of each person. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

A scope of practice defines nursing at various levels. Violation of the scope of practice can violate a state's nursing practice act, causing loss of nursing privileges.

Calvin is considering a transfer to the interventional radiology department. He's unfamiliar with the expectations in the nursing role within that department and looks for practice guidelines. Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Standard of Practice The American Nurses Association Standards of Practice has three components: professional standards of care, professional performance standards, and practice guidelines.

What factors contribute to a person's ethical beliefs? Select all that apply. Career Values Attitudes Beliefs Morals

Values Attitudes Morals Beliefs

Harriet accepted money from a client as a "thank you" gift. Her employer found out and fired her. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

American Nurses Association Code of Ethics CORRECT. The American Nurses Association Code of Ethics is not a law but a standard of professional responsibility. It describes the obligation for safe, compassionate, nondiscriminatory, and quality care while defining commitments to self, the patient, the employer, and the profession. Violation of the Code of Ethics can be used in court to justify whether the nurse functions at the level expected by the profession.

The nurse, Suzie, has an allergy to latex. Her employer replaced all latex products used on the unit with non-latex substitutions so Suzie will not get sick. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Americans With Disabilities Act (ADA) The Americans With Disability Act of 1990 provides protection against discrimination of individuals with disabilities. This covers physical and mental impairments that substantially limit life activities. The employer must provide reasonable accommodations within the work setting to allow employees with disabilities perform their jobs.

The client asks the nurse whether he should create an advance directive. What information should the nurse share when replying? If he is unable to communicate, his family may make changes to his advance directive. He will not be able to change his advance directive once it is put into writing. An advance directive will ensure he gets as much or as little care as he wishes. He will need to go to a lawyer to have one created.

An advance directive will ensure he gets as much or as little care as he wishes.

Jason just vomited blood but is hesitant to go to the emergency department because he does not have insurance. He tells this to the admitting nurse, who assures him he won't be turned away from medical care. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice Emergency Medical Treatment and Active Labor Act (EMTALA)

Emergency Medical Treatment and Active Labor Act (EMTALA) The Emergency Medical Treatment and Active Labor Act requires healthcare facilities to provide emergency treatment to patients in the emergency department regardless of their ability to pay, legal status, or citizenship status, until they are deemed stable.

A pregnant 16-year-old girl is admitted to the emergency department in active labor. Her mother says she has no money or insurance. What should the nurse do next? Arrange for an ambulance to transport her to the nearest public hospital. Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill. Examine her to determine whether her condition is stable or whether she requires immediate medical attention. Inform her mother that she will need to transport her daughter to the nearest public hospital. Encourage the mother to find alternative sources of payment.

Examine her to determine whether her condition is stable or whether she requires immediate medical attention.

The nurse performs care on an unconscious person at the grocery store. What law protects the nurse in this situation? Medical Treatment and Active Labor Act American Nurses Association Code of Ethics Good Samaritan laws Nurse practice acts

Good Samaritan laws

Henry, a nurse, is driving home from work when there is a major motor vehicle accident in front of him. He runs to the side of the driver, finding him bleeding from the nose and mouth. Henry calls 911 and begins treating the driver after receiving consent. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Good Samaritan laws provide liability protection to those providing emergency care with good intentions. In this situation, a nurse is expected to initiate emergency services and stay with the person until care is transferred to an equally competent professional. He or she should not accept compensation.

Michelle is in grave condition after an automobile accident. The nurse knows he cannot give a status update to her sister calling from out of state. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Health Insurance Portability and Accountability Act (HIPAA) The Health Insurance Portability and Accountability Act, passed in 1996, protects health insurance benefits for workers who lose or change jobs, protects those with preexisting medical conditions, and provides for privacy of personal health information.

Upon initial assessment of an older adult, the nurse discovers bruises and scratches on the client's arms, legs, and trunk in various stages of healing. The supervisor is notified that physical abuse is suspected. With which of the following is the nurse in compliance? Good Samaritan laws Mandatory reporting laws Nurse practice act Patient Self-Determination Act Nursing Standards of Practice

Mandatory reporting laws

Annie is planning to move to another state. She looks at the Board of Nursing website to explore that state's regulations for registered nurses. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Nurse Practice Acts Nurse practice acts contain provisions that regulate the practice of nursing within each state. They include information on the authority of the board of nursing, boundaries of nursing practice, standards for nursing education programs, licensure requirements, and grounds for disciplinary action.

A client is asking about developing a living will. What act protects this right? Americans With Disabilities Act Emergency Medical Treatment and Active Labor Act Patient Self-Determination Act Health Insurance Portability and Accountability Act

Patient Self-Determination Act

Josephine wants to make her own decisions about her end-of-life care. She talks to her significant other about creating a living will and durable power of attorney. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

Patient Self-Determination Act (PSDA) The Patient Self-Determination Act of 1991 recognizes the patient's right to make decisions regarding his or her own health care, based on predetermined decisions. Two types of documents are addressed in this act: the living will and the durable power of attorney (DPOA) for health care. The living will is prepared when the individual is competent to make decisions and address his or her personal preferences about end-of-life care. The DPOA identifies a person who will make the decisions should the patient be unable to do so.

The nurse is explaining the Health Insurance Portability and Accountability Act to a group of new employees. What should the nurse include when explaining its purpose? Select all that apply. Protects health insurance benefits Provides transferability of insurance to others Protects family members Protects those with preexisting conditions Provides personal health information privacy

Protects health insurance benefits Protects those with preexisting conditions Provides personal health information privacy

Which guidelines are established for nursing practice? Select all that apply. Manual of Labor Standards of Practice Patient Care Partnership Scope of Responsibility Nurse practice acts

Standards of Practice Patient Care Partnership Nurse practice acts

Johnston would like to better understand his hospital bill. He calls the hospital and the billing department suggests he meet with a representative and have it explained. What is this an example of? Health Insurance Portability and Accountability Act (HIPAA) Emergency Medical Treatment and Active Labor Act (EMTALA) Patient Self-Determination Act (PSDA) Americans With Disabilities Act (ADA) Good Samaritan Law American Nurses Association Code of Ethics Patient Care Partnership Standard of Practice Nurse Practice Acts Scope of Practice

The Patient Care Partnership, previously called the Patient's Bill of Rights, explains that during hospitalization a client can expect high-quality care, a clean and safe environment, involvement in his or her care, privacy protection, help with leaving the hospital, and help with billing claims.