Foundations of Nursing Chapters 1-3 Study Guide

Health Occupations Students of America (HOSA)

A national organization specifically for students in health occupations educational programs; membership is open to both high school and adult students

B

A nurse failed to lock the brakes on a wheelchair before transferring the patient from the bed to the wheelchair. The wheelchair rolled backward and the patient fell, causing several fractures. This nurse could be found guilty of a. False imprisonment b. Malpractice and negligence c. Assault d. Battery

A, B

An older patient has no living family members and asks the nurse to help her tell the doctor that she no longer wants to take treatment for her cancer. They discuss the possibility of the patient going into a hospice house in the future. The nurse stays with the patient when the patient talks to her doctor about her decision. This is an example of (select all that apply) a. An ethical dilemma b. Advocating for the patient c. Do-not-resuscitate orders d. A situation for the ethics committee e. An uninformed patient making the wrong decision

D

At what age are people eligible for Medicare? a. 62 b. 63 c. 64 d. 65

A, B, D, E

A 17-year-old girl would be considered an emancipated minor in which of the following situations or conditions? (Select all that apply.) a. Marriage b. Has lived alone and supported herself for 15 months c. Is adopted and does not know where her birth parents are d. Has a court order stipulating she is independent of her parents e. Is in the US Army

C

A 48-year-old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recovering from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance. What care options are best for this man at this time? a. Inpatient drug and alcohol rehabilitation facility b. Ambulatory care clinic c. Outpatient mental health services d. Home health care

D

A 58-year-old patient is in an intensive care step-down unit at an acute care hospital after having a cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities. The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is a(n) a. Acute care hospital. b. Long-term acute care hospital (LTACH). c. Skilled nursing facility (SNF). d. Rehabilitation facility.

Diagnosis-related group

A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare

Health maintenance organization

A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures

Rehabilitation

A facility that specializes in intense physical, occupational, and speech therapy is called a(n) _______________ facility.

Medicaid

A federally and state-funded health insurance program for individuals with incomes below the federal poverty threshold and certain other individuals, including pregnant women, children, and individuals with disabilities who meet income-level requirements

Preferred provider organization

A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis

Yes

Can it still be considered breach of patient confidentiality if the patient information was accidentally overheard by a visitor sitting at the table behind you in the cafeteria?

Nurse practitioner

Certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments

Scope of practice

Limitations and allowances of what can be done as a nurse

Respect, dignity, honesty, compassion

List FOUR necessary qualities for ethical patient care:

Licensed practical or vocational nurse (LPN/LVN)

Most basic of all the entry-level options for nurses with full-time programs lasting from 9 months to 1 year

Malpractice

Nurse's action fails to meet standard of care and results in patient injury

Diploma program

Nurses who are educated in hospital-based nursing education programs, of which there are few, are referred to as ________________________________ nurses.

Baccalaureate degree

Nurses who complete their nursing education at a university, earning a 4-year college degree, are _____________________________________ nurses.

Centers for Disease Control and Prevention (CDC)

The federal agency that supports health promotion and prevention of disease that also helps health-care professionals be prepared to respond to outbreaks of diseases and illnesses is called the ________________________ ____________________________________________.

Medicare

The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions

Primary care physician

The gatekeeper for access to medical services

Third-party payer

The insurance company that finances health care provided to a beneficiary

Nurse Practice Act

The law in each state that governs nurses' actions; addresses each level of nursing

HIPPA

The law that contains both the Privacy Rule and the Security Rule is abbreviated as ___________________.

Good Samaritan

The law that provides legal protection to the voluntary caregiver at sites of accidents and emergencies is called the __________________________________ law.

B

When reading the Clinical Judgment in Action boxes in the book, it is very important for you to a. Remember that, as a student, you are not responsible for developing clinical judgment yet. b. Think through what you would do in each situation. c. Do additional research on the topic in the scenario to answer the questions about the scenario. d. Discuss the scenarios in your study group and go with the answer that everyone thinks is best because there are no correct answers.

NCLEX-RN

When students in ADN, diploma, and BSN programs complete all coursework and graduate, they are eligible to take the _____________________________, and after they pass it, they become registered nurses.

NCLEX-PN

When students in an LPN or LVN program complete their educational program, they will take the ______________________________, and after they pass it, they become licensed practical or licensed vocational nurses.

B, C

When you care for younger patients in a health-care provider's office or clinic, you must keep in mind that they (select all that apply) a. Often have multiple medical problems. b. Have difficulty understanding what is happening and expressing their feelings during procedures. c. Often have no previous experience to prepare them for illness or treatment, so they are frightened. d. Are cared for in a health-care provider's office or clinic rather than a hospital. e. Often react negatively to health-care personnel.

A, B, D

Which are the responsibilities of the nurse? (Select all that apply.) a. Caring for more than one patient at a time b. Helping families understand the care of the patient after discharge c. Determining the need for and ordering diagnostic tests d. Noticing changes in the patient's condition and notifying the appropriate health-care professional e. Prescribing and ordering oral and IV medications

A, D, E

Which are true statements about the Affordable Care Act? (Select all that apply.) a. It makes some services, such as preventive care and vaccinations, free to the patient. b. It allows young adults up to the age of 30 to stay on their parents' health insurance policies. c. It has ensured that all Americans have health insurance coverage. d. It originally required everyone to have health insurance or else pay a penalty. e. Many insurers are no longer offering insurance coverage through the exchanges.

B, C

Which are your responsibilities as a nursing student regarding laboratory and diagnostic test results? (Select all that apply.) a. You do not have any responsibility because this is the physician's responsibility. b. Check the test results often and note any abnormal findings. c. Notify the health-care provider of significant abnormal results. d. Adjust medication orders based on abnormal results. e. Order follow-up laboratory tests if abnormal results occur.

D

Which focus of QSEN ties into providing individualized care of patients, including their preferences, values, and needs in their plan of care? a. Teamwork and collaboration b. Evidence-based practice c. Quality improvement d. Patient-centered care

The nurse

Which health-care provider is identified as the patient's advocate?

C

Which is true of nursing care in hospitals during the 1700s and early 1800s? a. Nursing care was provided by family members and priests. b. Nursing care was provided by deaconesses. c. Nursing care was provided by the poor and lower classes. d. Nursing care was provided by female midwives only.

A, B, C, D

Which is true of the nurse practice acts in all states? (Select all that apply.) a. LPNs/LVNs must practice under the supervision of an RN or physician. b. RNs must practice under the supervision of a physician. c. The act is enforced by each state's nursing board. d. The act establishes the scope of practice for each level of nursing practice. e. The act sets exact consequences for each type of unprofessional behavior.

A, B, C, D

Which is/are example(s) of unprofessional conduct that could result in the loss of a person's nursing license? a. Stealing from a patient while providing care in the home b. Neglecting to ensure that a resident in a long-term care setting is receiving adequate food and fluids c. Caring for a patient while under the influence of alcohol d. Leaving a long-term care facility during an assigned shift so that nursing assistants are unsupervised e. Making an error when administering medications to a patient

A

Which nurse in history developed the first nurse's notes and established the first school of nursing in Japan? a. Linda Richards b. Lillian Wald c. Isabel Hampton Robb d. Mary Mahoney

C

Which nurse in history established modern nursing and is famous for giving nursing care during the Crimean War? a. Clara Barton b. Dorothea Dix c. Florence Nightingale d. Mary Mahoney

C

Which nurse in history was instrumental in establishing a 3-year training program for nurses and worked for licensure examinations and nursing registration? a. Linda Richards b. Lillian Wald c. Isabel Hampton Robb d. Mary Mahoney

A

Which nurse in history was known as the "Angel of the Battlefield" during the US Civil War? a. Clara Barton b. Dorothea Dix c. Florence Nightingale d. Mary Mahoney

A, C

Which of the following are benefits of home health care? (Select all that apply.) a. Allows people to stay in their own homes instead of being in a facility b. Prevents fragmentation of care c. Is more cost effective than inpatient care d. Prevents complications e. Is provided at no cost to the patient or their family

B

Which of the following are important considerations when you are providing care for older adults? a. These patients have difficulty expressing their concerns. b. These patients often have chronic illnesses, sensory deficits, and multiple medications. c. These patients are most often cared for in their own homes or the homes of relatives. d. These patients are most often cared for in long-term care facilities.

C

Which of the following can be considered a disadvantage of team nursing? a. Patients have more than one name to remember when asking for their nurse. b. Patients may not like different team members and ask to work with just one. c. Care can be fragmented unless there is good communication among team members. d. The team leader may delegate tasks that are inappropriate to a team member's level of expertise.

B, C, D

Which of the following data should be included in an incident report regarding each incident? (Select all that apply.) a. A patient was found on the floor in the bathroom. Include what you believe happened to result in the patient being on the floor. b. You administered an incorrect medication to a patient. Include the name, dose, and route of the medication administered. c. A patient fell while you were ambulating the patient in the hallway. Include vital signs assessed after the fall. d. A patient suffered a skin tear while you were assisting the patient to get out of bed. Include the location, size, and description of the skin tear. e. A visitor reports that she slipped on a wet floor and lost her balance. No one saw it happen. There is no obvious injury, so an incident report is not required.

B

Which of the following is a criterion for admission to an SNF? a. The patient has made maximum progress and is considered stable. b. The patient has been hospitalized within the last 30 days. c. The patient requires intensive physical therapy. d. The patient will not be able to return to independent living and will be a resident.

B

Which of the following is the major difference between an assisted living facility and an independent living facility? a. There is no major difference. b. Independent living facilities do not provide nursing care. c. Residents must have medical needs to be placed in an assisted living facility. d. Assisted living facilities provide activities, but independent living facilities do not.

A, C, D, E

Which of the following is true of working in long-term care? (Select all that apply.) a. The setting is more homelike than a hospital. b. You will care only for people who are confused. c. You will need to use an easy, calming approach to residents. d. Changes in behavior can indicate health problems in older adults. e. You will encourage residents to participate in their care when possible.

A, B, C, E

Which of the following nursing actions would be considered proactive prevention of lawsuits? (Select all that apply.) a. Meeting your patient's needs b. Treating your patient with dignity c. Developing good nurse-patient rapport d. Keeping conversation with your patient to a minimum to reduce chances of offending the patient e. Explaining procedures and ensuring the patient's understanding before performing the procedure

A

Which of the following represents the desired outcomes of cardiac rehabilitation? a. To prevent worsening heart disease, new cardiac events, and premature death. b. To provide exercise and nutritional guidance. c. To provide care in a more cost-effective manner. d. To help patients recover as quickly as possible.

A, B, C, D

Which of the following services can be provided through home health care? (Select all that apply.) a. Infusion therapy b. Occupational therapy c. Physical therapy d. Wound therapy e. House calls by the physician

A, B, C, D

Which of the following statements are true regarding health departments? (Select all that apply.) a. They are funded by all levels of government. b. They provide immunizations. c. They track and treat communicable diseases. d. They run the Women, Infants, and Children health program. e. They provide emergency care for people without insurance.

T

T/F A case manager's main function is to coordinate and facilitate the care of several different patients concurrently.

T

T/F As a member of a nursing care team, but not the leader, it is important for a nurse to have good communication skills.

T

T/F Collaboration and teamwork are closely associated with patient safety.

F

T/F Cross-training of staff is more important in primary care than it is in patient-centered care.

F

T/F Delegation skills are helpful when leading a nursing care team but not essential because each team member knows their level of expertise.

T

T/F Fragmentation of care is more likely to occur with team nursing than with primary nursing.

T

T/F In patient-centered care, patients are encouraged to have a voice in goal-setting and in deciding how the goals will be met.

F

T/F In patient-centered care, the nurse makes sure other members of the health-care team, such as the phlebotomist, ECG technician, and respiratory therapist, perform their tasks in a timely manner.

T

T/F Multidisciplinary teams work especially well for patients with multiple and complex health problems.

F

T/F Primary care must be performed by an RN.

T

T/F Primary care nursing means that one nurse does all the care for one patient.

F

T/F Primary care works best on general care floors, not intensive care units.

F

T/F Team leaders probably know more about each patient in their care because they have other staff to help them.

T

T/F The main goal of case management is to make sure patients at high risk get the care they need at the least cost to the facility.

F

T/F The nurse case manager usually provides direct, hands-on care.

Under the right circumstances

The LPN/LVN has delegated to assistive personnel the task of getting a patient out of bed for the first time after abdominal surgery. The assistant enters the patient's room to find the patient very short of breath and complaining of chest pressure. According to the rights of delegation, which right does this fall under?

To help evaluate the clinical experience of caring for the patient in the Critical Thinking Connection

Explain the purpose of the Post Conference Connection.

A

For Medicare to pay for home health services, which of the following two criteria must be met? a. Skilled services required; patient is homebound b. Nursing care only is required; patient is homebound c. Nonskilled services required; patient is not necessarily homebound d. Physical, occupational, or speech therapy required; patient is not necessarily homebound

A, B, C, E

Graduates of which program(s) take the NCLEX-RN? (Select all that apply.) a. Baccalaureate degree nursing program b. Associate degree nursing program c. Diploma nursing program d. Licensed practical or vocational nursing program e. LPN/LVN to ADN program

D

Health care provided by various companies and purchased by the individual or an employer is called a. Medicare. b. Medicaid. c. Managed care. d. Private insurance.

D

If a nurse takes a picture of coworkers with a patient and sends it out on Instagram with a funny caption, it would be considered a. Acceptable because no names were used b. Acceptable because the nurse's friends do not know the patient or his coworkers c. Unacceptable because the nurse did it during work hours d. Unacceptable because it is a violation of the patient's privacy

Primary care nursing

In ________________________________________, one nurse is responsible for all aspects of nursing care for assigned patients.

"If it is not documented, it was not done." A nurse will not be able to prove that specific nursing care was provided for a patient if it was not charted.

In a court of law, there is a standard regarding documentation in patients' records. What is this standard, and what does it mean?

A, C

Insurance companies will only pay costs when a procedure is deemed medically necessary. By medically necessary, they mean (select all that apply) a. The procedure has to be a reasonable intervention, given the patient's diagnosis. b. The patient has to want to have the procedure done. c. The procedure has to treat an illness or injury. d. The procedure must contribute to the patient's sense of well-being. e. The cost of the procedure is less than $5000.

Battery

Intentional or wrongful physical contact without consent that causes injury

A, B, D

Kaiserswerth deaconesses were women who (select all that apply) a. Trained at the first school of nursing. b. Went to various places to teach other women to be nurses. c. Established the first nursing associations. d. Were educated at the same school as Florence Nightingale. e. Established the first nursing labor union.

A, B, C

The National Hospice Organization's definition of hospice states that hospice (select all that apply) a. Provides a continuum of home and inpatient care. b. Is coordinated by nurses. c. Cares for the patient and family. d. Does not include pain medication management. e. Ensures the patient experiences a pain-free death.

Evidence-based practice

Problem-solving approach using best evidence from nursing research studies, patient data, and patient's preferences and values

Quality and Safety Education for Nurses (QSEN)

Project that focuses on knowledge, skills, and attitudes needed by nurses to continually improve the quality and safety of patient care

Medical social worker

Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care, such as home health

Assault

Threatening a patient or showing intent to touch a patient without permission

Advocate

To stand up for the patient's best interest

Civility

Treating others with courtesy, politeness, and respect, even if you disagree with what they think or believe

C

A nurse is leaving work when he witnesses a bicyclist hit by a car and thrown into the road. The nurse stops to help the cyclist and renders first aid the best he can until the ambulance arrives. This nurse is protected from legal liability. This is an example of a. Securing malpractice insurance b. An ethical dilemma c. The Good Samaritan law d. Assault without battery

A

A recent newspaper story in your town reports on a resident in a long-term care facility who was wheelchair bound. She was also somewhat confused. This person found her way to an open stairway door and fell down an entire flight of stairs in her wheelchair. She ended up dying from her injuries. The licensed nurse on duty that day was accused of not keeping the door closed as required by the fire marshal and safety inspectors. In addition, the nursing staff was accused of not supervising the resident closely and allowing harm to come to her. The licensed nurse in this situation could face disciplinary action by the Board of Nursing. What is the most severe outcome that could result from that disciplinary action? a. The nurse will lose their license. b. The nurse will be required to give safety talks to other nurses. c. The nurse will not be allowed to practice nursing for a minimum of 1 year. d. The nurse would not be able to supervise nursing assistants for a minimum of 1 year.

B, C

A recent newspaper story in your town reports on a resident in a long-term care facility who was wheelchair bound. She was also somewhat confused. This person found her way to an open stairway door and fell down an entire flight of stairs in her wheelchair. She ended up dying from her injuries. The licensed nurse on duty that day was accused of not keeping the door closed as required by the fire marshal and safety inspectors. In addition, the nursing staff was accused of not supervising the resident closely and allowing harm to come to her. Which example(s) of unprofessional conduct has this licensed nurse and the staff exhibited? (Select all that apply.) a. Diversion of drugs from prescribed patient to personal use b. Failure to supervise assistive personnel adequately c. Failure to adequately care for patients or conform to minimum standards of nursing practice d. Criminal conduct e. Use of drugs or alcohol in a way that could endanger patients

Managed care

A system of health-care delivery aimed at managing the cost and quality of access to health care

Point of service

A type of insurance program in which a primary care physician serves as gatekeeper, but the members are not capitated; insured people can seek care from health-care providers who are both in and out of the network

Incident report

A(n) _____________________ is a form to be completed in the event of an unusual occurrence or an accident.

Emancipated minor

A(n) ______________________________________ is someone who is younger than age 18 years but is considered an adult because he or she lives alone and is self-supporting, has joined the military, is married, or is a parent.

C, D

Some unique aspects of home health include (select all that apply) a. The patients are not actually sick but more in need of education and information. b. Many family members are available to help you when you perform a procedure. c. Fewer supplies and less equipment are available than in a hospital setting. d. The nurse is alone in the home with no other health-care professionals to help make decisions about care. e. Your educational program will focus mainly on home health care.

Empathy

Ability to intellectually understand another's feelings

B

Although there is no hard and fast rule, when is the appropriate time to initiate hospice care? a. When the patient is expected to live less than 3 months b. When the patient is expected to live 6 months or less c. When the patient is expected to live less than 1 year d. When the patient is diagnosed with a terminal illness regardless of life expectancy

B

An 81-year-old woman had a total hip replacement 1 month ago but has had difficulty swallowing related to an injury from the breathing tube. Three weeks ago, she had a feeding tube placed through her abdominal wall directly into her stomach (a gastrostomy) to help her get enough calories and for administering medications. She has been improving and has just started a thickened-liquids diet. Which of the following would be the appropriate level of care for her? a. Acute care hospital b. Skilled nursing facility c. Rehabilitation facility d. LTACH.

C

An LPN is the team leader for another LPN and certified nursing assistant, all of whom are caring for 10 patients in a long-term care facility. The second LPN applies a pressure injury dressing incorrectly. Which of the following is the best response for the team leader to make when she discovers the error? a. "You aren't performing this task correctly. Why don't you review the procedure manual to figure out what you did wrong?" b. "I see you tried to do a good job, but I am ultimately responsible for all the care given to our patients. If there are any other dressing changes required, let me know and I will do them." c. "You did a good job with this dressing change. I see one step here that you may have overlooked. Tell me how you did it so we can figure out if it was done according to the procedure." d. "It looks like you forgot a step here. Is something bothering you today, or do you just not understand the procedure?"

Standards of care

Statements of actions consistent with minimum safe professional conduct under specific conditions

Physical, drug, and alcohol rehabilitation units

Describe three types of rehabilitation facilities.

Sister Callista Roy

Developed the adaptation model, inspired by the strength and resiliency of children; relates to the choices people make as they adapt to illness and wellness

Jean Watson

Developed the caring theory, which focuses on nursing as an interpersonal process

Madeleine M. Leininger

Developed the culture care diversity and universality theory

Dorothea Orem

Developed the self-care deficit theory, which explains what nursing care is required when people cannot care for themselves

Fraud

Documenting something that you did not actually do would be legally considered as what?

Physician assistant

Employed by physicians or hospitals to work closely with the physician and assist in directing patient care

Patient-centered care

Empowering the patient to take control of and manage their care is called ____________________________.

Associate degree nurse (ADN)

Entry-level education of registered nurses; minimum of 2 years at a community college

A

One important consideration in managing costs is making sure the patient is placed in which of the following? a. Appropriate level of care b. Managed care c. A health maintenance organization d. Acute care hospital

Case management

Patient care approach aimed at coordinating the care of patients who are vulnerable, at risk, or cost intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health

Negligence

Patient injury resulting from nurse's failure to meet responsibility to the patient

Certified nursing assistant

Performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states

Registered nurse

Practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel.

Licensed practical/vocational nurse

Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel

Abandonment

Premature cessation of patient care without adequate notice

Speech and language therapists

The personnel who help diagnose swallowing difficulties are called _____________________________________.

Occupational therapists or certified occupational therapy assistants

The personnel who help patients with disabilities to develop new skills, recover lost skills, or maintain functional skills so that they can perform daily activities and work are called ________________________________________.

National Association of License Practical Nurses

The professional organization for licensed practical/vocational nurses is the _________________________________________________________________________________________________________________.

B, C, D

The purpose(s) of the Critical Thinking Connections in this book is/are to help you (select all that apply) a. Understand the chapter better through a detailed case study. b. Identify actions to take and information to consider when caring for patients. c. Understand your thoughts and feelings about caring for specific types of patients. d. Connect what you read in this book with what you will see and do during clinical experiences. e. Explain in detail the more difficult content in the chapter.

Ethics

Values that influence your behavior

Informed consent

Voluntary agreement made by a well-advised, mentally competent patient to be treated by a health-care provider or institution

B

What are the two most important factors in economic decisions about patient care? a. Appropriate level of care and health insurance plan b. Medical necessity and appropriate level of care c. Medical necessity and type of health insurance d. Type of health insurance and expected length of hospitalization

The patient is no longer stable

What has changed to make the task in the previous question no longer appropriate to delegate?

The desire to learn and to care for people

What is a common desire of successful nursing students?

A, B, D

What is the role of the social worker in home health care? (Select all that apply.) a. Provides psychosocial support b. Helps families prepare for the patient's needs after discharge c. Provides dressing changes and determines ongoing need for treatment d. Arranges for community services, such as Meals on Wheels or transportation to and from office visits e. Provides in-home personal care for the patient

D

What might be the outcome if you delegate a task to an assistant or a certified nursing assistant (CNA) that is not within their scope of practice? a. You are liable for any poor outcomes, but the assistant is not liable. b. The charge nurse will take the blame for any errors made by the assistant. c. No harm can come to a patient based on delegation of tasks to the assistant. d. Both you and the assistant can be in legal jeopardy.

Inpatient

When a person stays overnight or longer in a health-care facility, they are referred to as a(n) ____________________________________________.

Referral

When a primary care physician cannot successfully treat a patient's condition, they make a(n) ________________________________ to a specialist.

Outpatient

When care is provided without admitting a person to a health-care facility, the person is referred to as a(n) _______________________________.

D

When did laws requiring licensing of nurses first come into being? a. Early 1800s b. 1836 c. 1897 d. Early 1900s

Team nursing

When patient care is provided by different individuals who perform tasks based on their skills, education, and licensure, it is called _________________________.

C

Which student organization holds competitions for medical-related skills? a. NSNA b. NALPN c. HOSA d. DECA

Government hospital

Which type of hospital in the United States requires that you shred any notes that are written while caring for the patient before you leave the facility?

D

While you are a nursing student, you make an error when giving your patient medications. The patient is not aware of the error and neither is your instructor. The incorrect medication could cause interactions with the patient's other medicines, but it might not cause any problems. What will you do? a. Wait to see whether the patient suffers any reactions or problems and then explain what happened. b. Tell the patient to notify only you if they experience any unusual feelings or problems. c. Tell the patient what happened but ask them not to tell anyone because you will then get into trouble. d. Explain to your instructor what happened and follow facility protocol for reporting medication errors.

C

Who owns a hospitalized patient's medical record? a. The patient b. The physician c. The hospital d. The patient's insurance company

D

Who was the first African American nurse in the United States? a. Linda Richards b. Lillian Wald c. Dorothea Dix d. Mary Mahoney

Advance directive

Written documents that provide guidelines for making medical decisions in the event a person becomes incapacitated and is unable to make his or her wishes known

Value

Your belief of something's worth

C, D

Your patient has been newly diagnosed with HIV. You are good friends with the patient's wife and feel that you should tell her so that she can be tested. Which of the following statement(s) is/are true? (Select all that apply.) a. Because the wife is considered an immediate family member, it is permissible for you to discuss the patient's test results with her. b. Failure to disclose the serious diagnosis to the wife could be considered negligence. c. The patient must give permission for the HIV test results to be disclosed to the wife. d. Discussing the test results without the patient's permission is a breach of HIPAA. e. You can send a letter on the clinic letterhead telling her, but do not sign it with your name.

Hospice

_______________________ is a medically directed, nurse-coordinated program providing a continuum of home and inpatient care for the patient who is terminally ill and their family.

Home health care

____________________________________________ can be one or many types of health or medical services provided to patients in their home because they are confined to their home by an illness or disability.