Ethical Issues in Nursing
A Client with metastatic esophageal cancer says, "I don't what to be kept alive being fed by a tube." what are the MOST APPROPRIATE ways for the nurse to ensure that this information is available to all who may need it for future decision-making? Select all that apply A. Document this communication in the Electronic health record. B. Encourage the client to discuss the decision with the health care proxy. C. Facilitate completion of an advance directive that reflects the client's decision. D. Obtained signed consent from the client E. Tell the health care provider that the client needs a do-not-resuscitate (DNR) order.
A, B, C, A. Advanced care planning is a process that includes: Ensuring that treatment decisions are legally documented on the appropriate forms, such as the advanced directive and the MEDICAL RECORD. B. ensuring that the HEALTH CARE PROXY (or durable power of attorney for health care) has INFORMATION AND DOCUMENTATION to support that rile if this person needs to make decisions for the client. C. ensuring that ADVANCED DIRECTIVE documents are in the MEDICAL RECORD so they are available to HCP's who care for the client in the future. (An advanced directive is used to communicate a client's wished when the client is not able to communicate them him/herself. The nurse can advocate for the client by ensuring that expressed wishes are communicated in the advanced directive and medical record and by encouraging the client to share this information with the appointed health care proxy.
Which pediatric presentation in the emergency department should the nurse follow up for possible abuse and mandatory reporting? A. 2-month-old who rolled off the changing table and is now lethargic. B. A 3-month-old with a flat bluish discoloration on the buttocks that the mother says has been present since birth. C. A 3-year-old with forehead bruises that the mother says come from running into the table. D. A 4-year-old who pulled boiling water off the stove and has splattered buens on the arm.
A. A 2-month old who rolled off the changing table and now lethargic. INFANTS BEGIN TO ROLL AT AGE 4-5 MONTHS. History that does not match growth and development is a concern for abuse. Burns with splash, bruises from areas typically hit wrhn falling, and MOngolian spots are expected findings.
The nurse prepares to teach an In-service on legal issues related to nursing. which Legal Terms are followed by an appropriate example. Select all that apply. A. ASSAULT: Threatening to administer a benzodiazepine if the client does not comply B. BATTERY: Misinforming a Pt. that a painful injection will not create discomfort. C. FALSE IMPRISONMENT: Storing a competent client's clothes to prevent the client from leaving prior to a prescribed treatment. D. INFORMED CONSENT: Calling the parent of an emancipated minor for approval prior to providing care. E. INVASION OF PRIVACY: Posting a medical update on the social media page of a client who is a friend.
A. ASSAULT- an act that threatens the client and causes the client to fear harm, but without the client being touched. C. FALSE IMPRISONMENT- is the confinement of a client against the client's will or without legal justification ( eg. client is not a threat to self or others) E. INVASION OF PRIVACY- includes DISCLOSING medical information to others without client consent. Under HIPPA a client's information regarding medical treatment is private and cannot be released without the client's permission.
Which of the following are violations of protected client health information? select all that apply A. Client overheard the nurse give report on the client's roommate thought the room curtain. B. Nurse calls a client by the first and last names in the public waiting room. c. Nurse gives pregnancy results to the client's partner without the client's permission. D. Nurse tells the transporting tech that the client has breast cancer. E. Unlicensed assistive personnel tells a discharged client. "you take care Now."
C and D The Health Insurance Portability and Accountability Act and the personal information protection act HIPPA and Electronic Documents Acts requirements related to protected health information include not giving results to a spouse without permission or telling or telling a client diagnosis to an employe who does not need to know it. It is not a violation to call clients by their names, have information overheard inadvertently or indicate well wishes
