Health Care Ethics, Law, and Policy

The older adult patient with dementia wants her eldest son to make healthcare decisions on her behalf when her condition worsens. The nurse instructs the patient to complete which form? 

The patient brought to the emergency department following a motor vehicle accident is found to be brain dead. An organ donor card is found on this person and the organ procurement team is contacted. Which medical history, if found in the patient’s chart, would prompt the nurse to stop the line in the organ procurement process?

The patient with schizophrenia tells the nurse of his plans to initiate a fire in the kitchen of the psychiatric department. Which action does the nurse take first?

The surgeon is obtaining informed consent from the parents of a child in preparation for a bone biopsy. The nurse anticipates the surgeon to include which information in the discussion? Select all that apply.

Which patient characteristic renders the patient permanently incompetent to give consent for an invasive procedure?

Which condition qualifies the patient to be an emancipated minor?

Which punishment does the nurse report as child abuse?

Which generation is known for being team-oriented, hardworking, efficient multi-taskers, and respectful of authority?

The student nurse accidentally administered morphine sulfate (Avinza) to the wrong patient. Who is directly accountable for the student nurse's medication error?

In regard to delegating assignments, which term refers to a reliable performance of the task?

Which component of quality improvement in medical institutions requires the institution provides standard care for all patients?

The provider is obtaining consent from the patient in preparation for a laparoscopic ureterolithotomy. The nurse witnesses the provider dismissing the patient’s questions and repeatedly asking the patient to sign the consent form. The nurse reports which violation to the charge nurse for further management?

Which element of informed consent refers to the patient's appreciation of the relevance of surgery to the present and future conditions?

The 15-year-old patient with anorexia nervosa has been prescribed nasogastric tube feeding for malnutrition. Which intervention is helpful in promoting the patient’s autonomy?

The nurse has received a letter from the Board of Nursing citing malpractice with regards to an incident that supposedly happened twelve years ago. How does the nurse respond?

The nurse is documenting assessment findings of a 37-year-old male with abdominal pain. Which is the most appropriate manner of documenting patient’s symptoms?

In response to a possible mass admission of injured individuals who were involved in a bombing incident nearby, the nurse supervisor is arranging the discharge of several patients who have recuperated already. Which is the operating principle of this situation?

The nurse has been instructed by the nurse manager to report to an affiliate hospital in the neighboring city because of an imbalance in staffing needs between the two hospitals. Which action by the nurse is most appropriate?

The patient speaks Chinese and very little English. Which action by the nurse is appropriate?

Which term refers to a feeling of indifference towards the patient for whom the nurse is providing care?

Which is a person-focused intervention to reduce burnout in nurses?

Which is considered the fifth phase of the disaster cycle?

The nurse notes a colleague consistently triages patients as more acutely ill than necessary. The nurse educates the colleague to triage appropriately in order to prevent which complication?

The nurse is preparing to start an intravenous catheter on an adult patient at risk for severe dehydration. The patient adamantly refuses the procedure despite thorough explanation. Which action by the nurse is appropriate?

The recently-discharged patient sends a social media message to the nurse asking for her full diagnosis. Which response by the nurse is appropriate?

Which infection control practice is most appropriate?

Which intervention does the nurse utilize first to decrease the risk for fall in the patient who is confused and agitated?

The nurse caring for the patient with pulmonary tuberculosis requests which personal protective equipment?

A 30-year-old female presents in the emergency room with symptoms of a lower respiratory infection with a productive cough, but there are no N95 respirators for the staff to utilize. Which action by the nurse is appropriate?

The nurse is participating in a project to reduce infection of multidrug resistant organisms (MDRO). Which type of surveillance will assist in this endeavor?

The unvaccinated child presents to the emergency department with a fever lasting 6 days, malaise, and a new, diffuse, maculopapular rash that started on the face and has spread to the chest and arms. Prior to entering the room to assess the patient, the nurse dons which personal protective equipment (PPE)? Select all that apply.

The patient was intubated in the field following a severe motor vehicle accident and is being managed in the intensive care unit. One day after the accident, increased oxygen requirement and diminished lung sounds are noted, and a radiograph is obtained. The chest x-ray reveals consolidation in bilateral lower lobes. The nurse anticipates which diagnosis for this patient?

A nurse is teaching a student about Good Samaritan laws. Which statement is correct?

A famous football player is brought to a local hospital following a severe, on-field injury. A nurse and avid sports fan comes to the hospital on his day off to find out the status of the injury. The nurse caring for the player is asked to provide him with an update on the player’s health. What is the appropriate response?

A nurse is discussing abortion with a distraught pregnant woman. The nurse understands that the patient is most likely struggling with which pair of ethical principles?

A nurse is preparing discharge plans. Which patient is most likely to need home health care services?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

Which tasks can be delegated to an unlicensed assistive personnel (UAP)? Select all that apply.

The nurse provides care for the client diagnosed with Barrett's esophagus. Which goals does the nurse establish in the plan of care? Select all that apply.

Which event does the nursing manager address because it violates the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.

Which actions are violations of the Emergency Medical Treatment and Active Labor Act (EMTALA)? Select all that apply.

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

The nursing supervisor overhears a nurse discussing the Health Insurance Portability and Accountability Act (HIPAA) guidelines with a group of nursing students. Which statement by the nurse prompts the nursing supervisor to intervene immediately?

Which actions can the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

The nursing team consists of a nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task is appropriate to assign to the UAP?

Which are components of informed consent? Select all that apply.

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The nurse is assessing the patient’s ability to live independently. The patient ambulates with a cane but cannot manage stairs (lives in a one-level home). Due to advancing macular degeneration, the patient has forfeited her driving license. The patient has a daughter who is able to assist with transport to doctor appointments but cannot visit regularly. The macular degeneration is affecting the patient’s ability to tell the difference between her many pills. Which level of nursing care is appropriate for the patient?

Which is the focus of a shift report?

A multidisciplinary team has been assembled to treat the patient who is hospitalized for a diabetic foot ulcer. Adherence to treatment, lifestyle, and dietary strategies has been an ongoing issue. The team includes an endocrinologist, primary care physician, a podiatrist, a registered nurse, and a dietitian. The addition of which provider to the multidisciplinary team will most positively impact outcomes for this patient?