PHIL 132 EXAM 2

The difference between a nurse navigator and nurse manager is that the nurse navigator ensures that the patient is at the center of the entire disease process. True or false

True

The role of a telehealth nurse is to provide education and counseling to patients. True or false

True

True or false: People who provide information to the board or department regarding healthcare practitioners are given immunity only if they have acted in good faith?

True

7. Which quote demonstrates the nurse understands HIPAA? a) "Becky, be careful and avoid stating patient identifiers when there is a chance other people can hear you." b) "Oh my gosh Mom, I have to tell you about this patient I had today. Her name was Lynn..." c) "Let's go to the cafeteria and talk over lunch, I am so hungry. I can't even focus on the client's plan." d) "Hey Stan, I know you aren't working with Mr. Smith anymore, but can you help me with something on his chart."

a) "Becky, be careful and avoid stating patient identifiers when there is a chance other people can hear you."

3) What are some examples of autonomy in nursing ? (Select all that apply) A) Raising the head of the bed for a patient with problems breathing B) Asking the physician's advice before performing a thorough assessment C) Educating a patient about his or her heart disease D) Advocating for a patient about a medication change

A) Raising the head of the bed for a patient with problems breathing C) Educating a patient about his or her heart disease D) Advocating for a patient about a medication change

If you have knowingly or unknowingly subjected a patient to unnecessary risk, you have violated this principle. A) Autonomy B) Beneficence C) Fidelity D) Nonmaleficence

D) Nonmaleficence

What are the benefits of using telehealth communication? Select all apply A. Cost effective B. Improves convenience C. Enhances patient care D. Improves access

A. Cost effective B. Improves convenience C. Enhances patient care D. Improves access

Nurse navigators help the patient by: (select all apply) A. Educating the patient about their disease and treatment B. Offer emotional support C. Help manage side effects D. Works with the whole multidisciplinary team, family, and patient E. Explain insurance issues and paperwork

A. Educating the patient about their disease and treatment B. Offer emotional support C. Help manage side effects E. Explain insurance issues and paperwork

Which of these are included in nursing scope of practice for continuity of care? Select all that apply A.Provide and receive report on assigned clients (e.g., standardized handoff communication) B. Lookup health articles on downtime to update knowledge about current health issues C. Follow up on unresolved issues regarding client care (e.g., laboratory results, client requests) D. Use documents to record and communicate client information (e.g., medical record, referral/ transfer form)

A.Provide and receive report on assigned clients (e.g., standardized handoff communication) C. Follow up on unresolved issues regarding client care (e.g., laboratory results, client requests) D. Use documents to record and communicate client information (e.g., medical record, referral/ transfer form)

_______focuses on the patient and their family A. Case manager B. Nurse navigator C. Telehealth nurse D. Registered nurse

B. Nurse navigator

The nurse is aware that an administration of a certain injection will make the patient feel uncomfortable. However, in order to relieve a symptom the nurse may cause discomfort. The intent of the nurse provides a treatment which benefits the patient and outweighs the discomfort caused. This is an example of... A) Beneficence B) Respect C) Nonmaleficence D) Justice

C) Nonmaleficence

What types of things ensure that the staff of a Joint Commission accredited facility are competent to perform the jobs for which they were hired? Select all that apply: a) Annual performance evaluation b) Each employee's orientation to the facility, department and individual job c) The education (or experience) level of each individual staff member d) Standardizing procedures to ensure uniform, consistent care e) Ongoing education within or outside of the organization

a) Annual performance evaluation b) Each employee's orientation to the facility, department and individual job e) Ongoing education within or outside of the organization

3. What are some signs of emotional abuse in children? (select all that apply) a) Bed wetting b) Destructive or anti-social behaviors c) Doesn't want to change clothes (e.g., for P.E.) d) Violent themes in fantasy, art, etc. e) Habits like sucking, biting, rocking

a) Bed wetting b) Destructive or anti-social behaviors e) Habits like sucking, biting, rocking

4. Warning signs of elder abuse include... (select all that apply) a) Bruises, pressure marks, broken bones, abrasions, and burns b) Unexplained withdrawal from normal activities c) Changes in financial situations d) Unusual weight loss

a) Bruises, pressure marks, broken bones, abrasions, and burns b) Unexplained withdrawal from normal activities c) Changes in financial situations d) Unusual weight loss

3. "One should never tell a lie because a person cannot rationally wish that all people should be able to pick and choose when they have permission not to be truthful" is an example of which of Kant's rules? a) Categorical imperative b) Hypothetical imperative c) If-then imperative d) Self-directed imperative

a) Categorical imperative

1. What examples are types of child neglect? (Select all that apply) a) Failing to provide clothes that are appropriate to the weather b) Providing preventative medical and dental care c) Not providing enough healthy food and drink d) Allowing a child to miss too much school

a) Failing to provide clothes that are appropriate to the weather c) Not providing enough healthy food and drink d) Allowing a child to miss too much school

4. A deontologist would likely be more concerned about the intention behind an act than a utilitarian would True or False?

True

6. True or False Due to under-reporting, variations in the definition of elder abuse, and the absence of a nationwide uniform reporting system, it is difficult to determine the scope of elder abuse?

True

The role of a case manager is to be a leader, collaborator and a manager. True or false

True

12. A nurse must report if: (select all that apply) a) He/She has good faith (a reasonable suspicion) that an injury is a result of abuse/neglect b) He/She hears about another health care professional who neglected to give care to a patient whether or not it resulted in actual injury c) He/She witnessed the abuse d) He/She remains immune from civil, criminal and professional licensure actions.

a) He/She has good faith (a reasonable suspicion) that an injury is a result of abuse/neglect b) He/She hears about another health care professional who neglected to give care to a patient whether or not it resulted in actual injury c) He/She witnessed the abuse d) He/She remains immune from civil, criminal and professional licensure actions.

How does a nurse show beneficence in their practice? (select all that apply) a) Listening with an open ear to disorganized thoughts of a manic patient. b) Prioritizing patient care of an incarcerated rapist over personal morals. c) Educating a patient with many comorbidities about their health challenges and encouraging to make the best decisions for their health. d) Providing safety measures to a postoperative patient who was disrespectful to the nurse.

a) Listening with an open ear to disorganized thoughts of a manic patient. b) Prioritizing patient care of an incarcerated rapist over personal morals. d) Providing safety measures to a postoperative patient who was disrespectful to the nurse.

4. These are a few practical applications of the ethical principle of veracity: (select all that apply) a) Patient informed consent b) Informing patient when/if an error has been made c)Commitment to always telling the truth, even at the face of a poor prognosis d) Ensuring all patients have their basic needs met e)Reporting a co-worker suspected of unethical behavior

a) Patient informed consent b) Informing patient when/if an error has been made c)Commitment to always telling the truth, even at the face of a poor prognosis e)Reporting a co-worker suspected of unethical behavior

What are some of the most frequently cited categories for the root, or underlying, cause of sentinel events? Select all that apply. a) Staffing levels and shift skill mix b) Supervision; delegation; catachresis c) Unprecedented equipment failure d) Rushing; fatigue; distraction e) Inappropriate access to secure areas of non-credentialed persons

a) Staffing levels and shift skill mix b) Supervision; delegation; catachresis d) Rushing; fatigue; distraction e) Inappropriate access to secure areas of non-credentialed persons

5. Which of the following are reasonable expectations a patient may have of their nurse? a) That they are treated with basic respect. b) That the nurse is confident and capable of performing his/her duties. c) That the nurse adheres to policies and procedures of the organization and law. d) That the nurse will follow his/her beliefs when it comes to the patient's care. e) That the nurse will break confidentiality if it will save the patient's life.

a) That they are treated with basic respect. b) That the nurse is confident and capable of performing his/her duties. c) That the nurse adheres to policies and procedures of the organization and law.

Nursing continues to recognize and participate in providing appropriate, uninterrupted care and facilitate clients' transitions between different settings and levels of care. What would be an example of this continuity of care? a) The nurse collaborating with other members of the health care team b) The nurse taking detailed notes on how each client wants to continue care c) The nurse attending an appointment with the client in some place other than where the nurse works d) The nurse accompanying the physician on rounds

a) The nurse collaborating with other members of the health care team

Mr. Smith, a patient at the facility is going to a hospice care facility. What would the nurse, who practices informational continuity of care do to ensure a seamless transition? a) Transfers Mr. Smith medical record as requested by the hospice care facility b) Research about the facility for the patient c) Make sure patient fills out the comment card before leaving the facility d) Tell the patient to come back and forth between facilities to ensure continuity of care

a) Transfers Mr. Smith medical record as requested by the hospice care facility

Why is continuity of care important? Select all that apply a) improved access to care b) improved adherence to prescribed screening and treatment c) recognition of unidentified problems d) fewer hospitalizations

a) improved access to care b) improved adherence to prescribed screening and treatment c) recognition of unidentified problems d) fewer hospitalizations

2. A nurse is providing care for three patients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute patient still receives a reasonable amount of time, attention and care during the course of the shift. Which of the following is the nurse attempting to enact? a) justice b) beneficence c) fidelity d) nonmaleficence

a) justice

1. Which of the following actions most clearly demonstrates a nurse's commitment to social justice? a) lobbying for an expansion of Medicare eligibility and benefits b) ensuring that a hospital patient's diet is culturally acceptable c) answering a patient's questions about her care clearly and accurately d) documenting nursing care in a timely, honest, and thorough manner

a) lobbying for an expansion of Medicare eligibility and benefits

2. Physical abuse of a child is when... a) parent or caregiver causes any non-accidental injury to a child. b) parent or caregiver harms a child's mental and social development c) parent or caregiver does not give the care, supervision, affection and support needed for a child's health, safety and well-being d) adult uses a child for sexual purposes or involves a child in sexual acts

a) parent or caregiver causes any non-accidental injury to a child.

Approximately what percent of nurses are estimated to use alcohol or drugs to an extent that impairs practice? a) 10-12% b) 6-8% c) 2-3% d) 5-6%

b) 6-8%

Which of these DO NOT cause a delay in intervention and treatment toward recognizing substance abuse RN in a workplace? Select all that apply a) The problem is denied, rationalized or minimized b) Co-workers, colleagues, and supervisors report the affected professionals c) Discuss your concerns with a supervisor or other senior colleague d) Ignore because this is an individual problem

b) Co-workers, colleagues, and supervisors report the affected professionals c) Discuss your concerns with a supervisor or other senior colleague

8. Which of the following are included in the 5 Cs of confidentiality? Select all that apply a) Confidential b) Court order c) Communicating a threat d) Consent

b) Court order c) Communicating a threat d) Consent

7. When a nurse tells the patient that s/he is going to get him a warm blanket. The client takes such promises seriously, as should the nurse, this is referred to as? a) Veracity b) Fidelity c) Justice d) Autonomy

b) Fidelity

At the end of shift, what is the nurse responsibility to make sure transition of care is seamless? a) Let the patient know you are going home so the patient can call someone else to help b) Handoff communication to the next shift nurse c) Leave a note with your phone number so the next nurse can call you if has question d) Tell the patient to let the next nurse know about patient condition

b) Handoff communication to the next shift nurse

Which of these nursing related professions would have the greatest degree of autonomy? a) BSN RN b) Nurse Practitioner c) LPN d) CNA

b) Nurse Practitioner

Jackie is an RN from your floor who has been working at the facility for 3 years. However, you have noticed that within the past couple days. Jackie showed up to work with excessive sleepiness. During her shift she made many mistakes when passing meds and charting. What is the first priority action you should do? a) Confront Jackie that she is using drugs b) Report to your supervisor for intervention c) Talk about Jackie with a co-worker during break d) Ignore because if she needs help she will come to you

b) Report to your supervisor for intervention

2) What answer does not fit the definition of a beneficent nurse? a) The nurse who prioritizes patient concerns over their own feelings or beliefs. b) The nurse who is good at their job and always operates at or above standard operating level of care. c) The nurse who shows respect to all patients regardless of beliefs, practices, background, or past behaviors. d) The nurse who does not attempt to influence patient decisions.

b) The nurse who is good at their job and always operates at or above standard operating level of care.

3. This principle helps build trust and is the basis for most relationships between healthcare professionals and patients: a) Fidelity b) Veracity c) Justice d) Ethics

b) Veracity

9. A class I HIPAA violation is a) When an offender makes no attempt to correct the violation and can be fined a minimum of $50,000 b) When the offender most likely has no idea they even violated confidentiality laws but can still be fined $100 c) When the violation is considered willful neglect but the offender still attempts to correct the violation. d) When the offender couldn't have avoided breaching confidentiality but was aware of the breach at the time.

b) When the offender most likely has no idea they even violated confidentiality laws but can still be fined $100

2. In a disaster triage which of the following patients would the nurse tag as "yellow"? a) 54 year-old patient with a broken hand, and walking around with a limp b) 16 year-old patient bleeding profusely from an amputated right arm, respirations 36, and an absent pulse on the other wrist c) 34 year-old patient with a small laceration on her arm, and says she can't move her legs d) 72 year-old patient with a head wound, respirations are absent, airway has been repositioned, still no breathing

c) 34 year-old patient with a small laceration on her arm, and says she can't move her legs

5. What percent of elder abuse and neglect incidents, are done by a family member? a) 75% b) 50% c) 60% d) 85%

c) 60%

The ANA code of Ethics is composed of how many provisions? a) 7 b) 10 c) 9 d) 12

c) 9

9. Veracity is best demonstrated by: a) A nurse ruling out a strenuous exercise program that would improve the patient's general health, but puts the patient at risk for a heart attack. b) A nurse promises a patient that she will be back in 5 minutes due to the need to assist another patient. The nurse returns in 5 minutes. c) A nurse clearly explaining that car accident that the patient survived from resulted in the death of the patient's spouse. d) A nurse catches a patient that is falling while incidentally leaving a dark blue bruise on the patient's arm.

c) A nurse clearly explaining that car accident that the patient survived from resulted in the death of the patient's spouse.

Which systems of checks and balances for reducing healthcare errors have been found by meta-data studies to be the most reliable? a) Education and training b) Checklists for high-risk procedures c) Computerized automation and human-machine redundancy d) Computerized reminders (i.e. allergy or intolerance notifications) e) Ensuring rules, policies, and procedures reflect most current research

c) Computerized automation and human-machine redundancy

Medication errors can place patient safety at risk. Which practices will help decrease the possibility of errors? Select all that apply. a) Hire only competent nurses. b) Improve each nurse's ability to multitask. c) Establish a reporting system for "near misses." d) Communicate effectively. e) Create a culture of trust.

c) Establish a reporting system for "near misses." d) Communicate effectively. e) Create a culture of trust.

A student nurse tells a utilitarian she is not doing well in her med-surg class and asks if she should cheat on her next exam, which of the following answers would a rule utilitarian say? a) Yes, cheating is normal b) No, it is too risky c) No, if you cheat, you will become an unqualified nurse d) Yes, you need to pass this class to graduate

c) No, if you cheat, you will become an unqualified nurse

Treatment process for the professionals with substance/alcohol abuse are: Select all that apply a) Fire from workplace b) Lost of credential license c) Restrict from administering controlled substances for a specified period ot time d) Random drug screens are done as part of the monitoring process e) Multi-disciplinary treatment program or 12-step program such a Alcoholics Anonymous or Narcotics Anonymous

c) Restrict from administering controlled substances for a specified period ot time d) Random drug screens are done as part of the monitoring process e) Multi-disciplinary treatment program or 12-step program such a Alcoholics Anonymous or Narcotics Anonymous

6. A nurse always documents each of her interventions after she does them because she is afraid of getting in trouble for doing otherwise. Under what ethical perspective is she operating? a) Act utilitarianism b) The Hypothetical Impertive c) Teleological egoism d) Altruistic teleology

c) Teleological egoism

8. What ethical principle below is accurately paired with a way that ethical principle is applied into nursing practice? a) Justice: Equally dividing time and other resources among a group of clients b) Beneficence: Doing no harm during the course of nursing care c) Veracity: Fully answering the client's questions without any withholding of information d) Fidelity: Upholding the American Nurses Association's Code of Ethics

c) Veracity: Fully answering the client's questions without any withholding of information

5. Utilitarian focuses mainly on? a) Actions b) Moral skills c) Honor d) Consequence

d) Consequence

11. You were just convicted for failure to report, what kind of penalty could you get? a) A fine of no more than $5,000 b) A fine of up to $50,000 c) Up to 364 days in the county jail d) Failure to report is a misdemeanor, you could get a or c or a&c e) Failure to report is a misdemeanor, you could get b or c or b&c

d) Failure to report is a misdemeanor, you could get a or c or a&c

6. A client asks why a diagnostic test has been ordered and the nurse replies, "I'm unsure but will find out for you." When the nurse later returns and provides an explanation, the nurse is acting under which principle? a) Nonmaleficence b) Veracity c) Beneficence d) Fidelity

d) Fidelity

10. Who can be considered exempt from reporting an individual who harmed or risked harm to a patient? a) Registered Nurses b) Liability insurance carriers c) Health care institutions d) Professional review organizations during investigations

d) Professional review organizations during investigations

Which factor, of those listed below, most strongly influences the success of a primary health care system's organizational policies and procedures? a) Ability of administrative staff to dictate to care providers how to best use time and other resources. b) Assurance of access to health care for every citizen, including all health care workers. c) Each entity's sense of urgency regarding the evaluation of critical indicators. d) Cure orientation of the private sector of health care delivery in the United States. e) Participation of its members in the design, implementation, and evaluation of any given initiative.

e) Participation of its members in the design, implementation, and evaluation of any given initiative.