FADAVIS Q's-Ethics & Legal Issues

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

A nurse has been caring for a client and makes excessive visits to the client's room for no reason, spending extended periods of time there. When asked about this behavior, the nurse becomes defensive. What could this scenario be an example of? Potential boundary issues Possible substance abuse issues Infraction of statutory law Unclear scope of practice

Potential boundary issues

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

What is an appropriate nursing intervention for moral distress? Self-manage emotions; discuss moral distress with a mentor if you are having difficulty Decreased anxiety level Assess nature of the action and likelihood of immediate harm Self-determination; to choose and act on that choice

Self-manage emotions; discuss moral distress with a mentor if you are having difficulty

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

Nurse practice acts are an example of what type of law? Statutory Administrative Common Constitutional

Statutory

Which is an example of assault? A nurse is caring for an older adult with dementia who is not cooperating. The nurse raises a hand as if to slap the client and says, "I will slap you." A nurse places an IV as the coherent client says, "I don't want you to do that. You are hurting me!" A nurse touches a client by rubbing their back when they are emotionally upset, and the client quickly moves away. The nurse places a confused client in a vest restraint without an order.

A nurse is caring for an older adult with dementia who is not cooperating. The nurse raises a hand as if to slap the client and says, "I will slap you."

What ensures that a student in a nursing program meets the minimal standards for providing quality patient care? Accreditation Certification Credentialing Licensure

Accreditation

Which professionals are often a part of an institutional ethics committee? Select all that apply. Ethicists Nurses Clergy Legal counselors Community lay members

All of the above

Which value describes the right to self-determination and to choose and act on that choice? Altruism Autonomy Human dignity Integrity

Autonomy

What would be an appropriate nursing diagnosis for a client who is uncertain about which course of action to take in their treatment? Decisional conflict Moral distress Values clarification Value/belief/action congruence

Decisional conflict

Fair access to care and allocation of resources are examples of what type of justice? Distributive Procedural Compensatory General

Distributive

A client who is uninsured and unemployed arrives at the emergency department with chest pain that radiates between the shoulder blades, tightness in the neck, and nausea. The triage nurse calls the on-call provider, who instructs the nurse to send the client to the county hospital several blocks away. What federal law protects this client against refusal of care at the private hospital? EMTALA PSDA HITECH DPOA

EMTALA

A nurse discharges a client without answering any questions or teaching them how to treat a wound at home. What type of malpractice claim could be brought against this nurse? Failure to implement a plan of care Failure to assess and diagnose Failure to plan Failure to evaluate

Failure to implement a plan of care

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 Good Samaritan laws Nurse Practice Acts Scope of practice

Good Samaritan laws

What is the mission of the Patient Care Partnership? It encourages healthcare providers to be more aware of the need to treat clients in an ethical manner and to protect their rights. A client's values, preferences, need for information, and other factors that promote autonomy must be considered in the plan of care. It states that ethical behavior in care, treatment, services, and business practices should be maintained at all times. It addresses the nurse's responsibilities to clients and directs nurses to contribute to the establishment and maintenance of an ethical environment.

It encourages healthcare providers to be more aware of the need to treat clients in an ethical manner and to protect their rights.

The nurse is caring for a client and believes that the client wants to be treated as the nurse would. What is a disadvantage of this way of thinking? It is presumptuous in that nursing actions may not really be what the client wants. It removes all grounds for client autonomy. It removes the family from decision making. It blurs the role of nurse, advocate, and ethical decision making.

It is presumptuous in that nursing actions may not really be what the client wants.

When using the MORAL model for ethical decision making, what principles will help the nurse to function effectively as an advocate? Select all that apply. Know and document facts. Know the argument. Avoid getting into a power struggle. Be aware of client vulnerability. Assess the group's willingness.

Know and document facts. Know the argument. Avoid getting into a power struggle. Be aware of client vulnerability.

How can a nurse recognize a client is struggling with an ethical issue? The client experiences conflict in some form. There is incongruent behavior between the client and the family. Vitals signs are abnormal, and the client appears to be in distress. The physician and the client do not agree on the method of treatment.

The client experiences conflict in some form.

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

Values Attitudes Beliefs Morals