Quiz 24 Legal/Ethical
A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, "I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?" What response by the nurse would be the most helpful?
"Maybe. The occupational therapist recommends adaptive equipment that will make you more independent."
When the staff's knowledge of the fire safety precautions is assessed, which action indicates the need for further fire safety instruction? Select all that apply.)
A UAP evacuated critically ill patients on the elevator during a fire drill. A heating pad cord is taped when a frayed area is noted.
What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?
A contract is usually a lifetime commitment.
What differentiates the services of a long-term care facility from that of an assisted living facility?
Personal care services
What does the acronym PASS stand for?
Pull Aim Squeeze Sweep
Term meaning damages exceeding simple compensation and awarded to punish the defendant.
Punitive Damages
When a patient asks why he must be transferred to a subacute unit from the hospital, what would be an appropriate response by the nurse?
Reimbursement guidelines limit adults' stays in an acute setting.
What is the first measure for the nurse to carry out in the event of a fire in the workplace?
Remove the people from the room with the fire.
What does the acronym RACE stand for?
Rescue Activate Confine Extinguish
Which type of professional is trained to help people with lung diseases or disorders that can result from a myriad of issues. They treat patients dealing with pulmonary distress due to complications from asthma, bronchitis, COPD, pneumonia, chest trauma, prematurity, lung cancer, and more?
Respiratory Therapist
For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy?
Restorative
The nurse is caring for a Chinese American patient. How should this nurse demonstrate cultural awareness?
Sit side-to-side when speaking with the patient
What term refers to malicious or untrue spoken words about another person or property?
Slander
The nurse discovers smoke in a soiled utility room across the hall from a patient's room. What should the nurse's initial action be?
Sound the fire alarm.
Which individuals are educated in the study of human communication, its development, and its disorders. SLPs assess speech, language, cognitive communication, and oral/feeding/swallowing skills.
Speech-language Pathologists (SLPs) aka Speech Therapist
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
Standards of care
What are the universal guidelines that define appropriate measures for all nursing interventions?
Standards of care
What is the term for a generalization about a form of behavior, an individual, or a group?
Stereotyoe
The home health nurse has been assigned to provide care for a patient with cultural values that differ from the nurse's. What is the best action for the nurse to take? (Select all that apply.)
Take time to consider the differences between the values held and those of the assigned patient. Research the culture of the assigned patient. Review past experiences with cultural dilemmas.
What term refers to the failure to meet a legal duty that results in harm to another?
malpractice
Which term refers to the commission of an act or omission of an act that a reasonably prudent person would have done in a similar situation, leading to harm of another person.
negligence
Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the ___________ assistant
restorative nursing
The nurse differentiates between curative and palliative care. What is true of curative treatment?
Curative treatment is focused on prolonging life.
Which term means to do no harm?
Nonmaleficence
A newly admitted patient appears to be disoriented and the nurse is considering using a safety reminder device (SRD). What is the nurse's next intervention for this patient?
Obtain a health care provider's order
Nursing initial action of nurse when there is earthquake and casualties reported?
Activate the facility's emergency disaster plan.
What services are community-based programs designed to meet the needs of functionally or cognitively impaired adults through supervised health care and social and recreational activities to provide a period of relief for the family caregivers?
Adult daycare
What role is the nurse who diligently works for the protection of patients' interests playing?
Advocate
Which term refers to one who defends or pleads a cause or issue on behalf of another?
Advocate
Because the family is confused about the meaning of palliative care, the hospice nurse needs to explain the focus of care. What is the focus of palliative care?
An integrated service of support for alleviation of symptoms
What to do when you have a disoriented patient during admission?
Assign confused or disoriented patients to rooms near the nurses' station. Observe these patients frequently
The home health nurse is assisting a family to select a long-term care facility for an 80-year-old widow in good health who no longer drives, loves to play cards, can ambulate with a walker, and is oriented. Which facility would be the best selection for this patient?
Assisted Living
The home health nurse is assisting a family to select a long-term care facility for an 80-year-old widow in good health who no longer drives, loves to play cards, can ambulate with a walker, and is oriented. Which facility would be the best selection for this patient?
Assisted living center
Which type of law is concerned with offenses against society in general and applies to conduct that is detrimental to society as a whole and who's purpose is to punish the crime and to deter and prevent further crimes?
Criminal Law
A Jehovah's Witness patient has been admitted to the medical floor. Which treatment will this patient most likely refuse based on religious beliefs?
Blood transfusion
The holistic belief system is the primary influence for which culture?
Chinese
Which type of law deals with personal rights and applies to conduct that is detrimental to an individual, and who's purpose is to make the aggrieved person whole again?
Civil Law
The nurse who assesses for cultural influences, values cultural diversity, and incorporates cultural knowledge in practice is said to be culturally
Competent
A set of learned values, beliefs, customs, and practices that are shared by a group and are passed from one generation to another is known as
Culture
What are some characteristics that cultures have in common? (Select all that apply.)
Economic practices Survival modes Transportation systems Family systems
A type C fire extinguisher is required for which type of fire?
Electrical
The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity?
Encouraging consultation of male members of the family regarding health care decisions
What is a fixed concept of how all members of an ethnic group act or think?
Ethnic Stereotypes
What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best?
Ethnocentrism
What elements are included in the definition of palliative care according to the World Health Organization? (Select all that apply.)
Focusing on controlling pain and other symptoms, as well as reducing psychological, social, and spiritual distress for the patient and the family The active total care of patients whose disease is not responsive to curative treatment The framework for hospice care
While caring for a Mexican American family in the home, the home health nurse recognizes that the family may also consult the curandero or _____________ for health advice
Folk Healer
What services enable individuals of all ages to remain in the comfort and security of their homes while receiving healthcare?
Home Healthcare
What agency provide services to patients and families as the end of life approaches and are available to any age-group?
Hospice Agencies
The nurse suggests to a family caring for a member with early Alzheimer's disease in their home that they investigate the services of an adult day care center. What is a major benefit of adult day care centers?
It expands social interaction
The nurse knows that all patients have the right to nursing interventions regardless of their race, religion, or gender. The ethical principle that best describes this concept is:
Justice
When caring for patients, the nurse knows that part of the ethical principles include all patients having the same right to nursing interventions. What is the term for this principle?
Justice
Which term in nursing means that nurses must allocate time among all the assigned patients to meet their needs.
Justice
A Mexican American is pregnant with her second child. When the nurse is reviewing her diet, the patient states that she never drinks milk. What culturally related factor may explain this?
Lactose intolerance occurs often in Mexican
Which term refers to malicious or untrue writing about another person that is brought to the attention of others?
Libel
Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities. To be reimbursed by Medicare, who must provide these services?
Masters-level clinician
An alert adult patient has refused an intramuscular injection. The nurse waits until the patient is asleep and gives the injection anyway. The nurse could be charged with?
civil battery
The health care provider's order read "assist the patient with walking." The nurse allowed the patient to walk alone. The patient fell, fracturing the humerus. Which verdict is the most likely occurrence?
The nurse will be guilty of negligence.
Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as an individual?
To provide holistic care
What to do for a patient who has a latex allergy?
Use latex free gloves & inspect all supply kits for items that contain latex
Personal beliefs about the worth of an object, idea, custom, or attitude that influence a person's behavior in a given situation are term-52referred to as?
Values
The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
Withhold an opinion
A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
civil battery