Review Questions
1
.
What term best describes a patient’s right to self-determination?
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Justice
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Autonomy
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Nonmaleficence
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Beneficence
2
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What term comes to mind when upholding the responsibility of a patient’s best interest?
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Nonmaleficence
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Beneficence
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Fidelity
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Paternalism
3
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You are asked by your supervisor to take photographs of residents and their family members during a holiday gathering at your long-term care facility. As a nurse, you recognize that HIPAA should be at the forefront of this decision. What action is most appropriate?
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Refuse to take the photographs because this is not your job responsibility.
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Take the photographs because the patients and families are smiling and appear happy as they enjoy the gathering.
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Take the photographs because it is a long-standing tradition at your facility.
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Refuse to take the photographs until you have received informed consent from all the patients.
4
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You are a nurse manager for an acute care facility. What is an example of a statement from another nurse that indicates the need to provide additional education related to confidentiality and information security?
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“I refused to share my password with the new nurse in training on the unit.”
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“I noticed an unattended computer in the hallway but did not have a password to log into it.”
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“I don’t pull up electronic records for other patients in our unit if I’m not providing their care.
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“I know Mr. Smith isn’t your patient but would you mind proofreading my summary before I save it?”
5
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You are caring for a high-risk pregnant patient. The patient and fetus are at a high risk for death. Some decisions will help promote the pregnant patient’s life but create significant jeopardy for the fetus; other decisions will preserve the fetus’ life at the expense of the patient’s life. As the patient’s nurse, what role is most significant in this ethical dilemma?
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Case manager
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Care coordinator
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Patient advocate
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Collaborator
6
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As a nurse, you recognize that your patient does not have a good understanding of health information or how to make informed decisions based on information you have provided. What is a term or phrase that best describes this patient’s knowledge deficit?
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Cognitive impairment
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Low health literacy
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Lack of willingness to learn
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Noncompliance
7
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What is a true statement about teaching approach for ethical patient education?
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It remains the same regardless of cultural or religious practices or the patient.
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It is equal for all patients without consideration of health disparities.
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It considers psychosocial situation of the patient.
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It focuses on details the nurse learned when in nursing school.
8
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What is a benefit of ethical patient education?
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Reduces the risk of readmission by increasing understanding
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Removes health disparities by providing equal education to all
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Decreases need for the patient to have additional questions
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Lowers patient expectations for health information
9
.
You are a nurse for a patient with diabetes who experiences frequent episodes of hypoglycemia (low blood sugar). You have noticed that the provider’s order for the patient’s insulin may put the patient at risk for hypoglycemia in the middle of the night. As your patient’s advocate, what is an example of the most appropriate action?
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Mention to your nursing colleague that the provider’s order was not well thought out.
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Administer the insulin as ordered and document the concern in the patient’s record.
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Call the provider before administering the patient’s insulin.
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Administer the insulin and inform the oncoming nurse to keep a close watch on the patient during the night.
10
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What document has been referred to as a “social contract” for nurses to the public?
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The Health Insurance Portability and Accountability Act
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The ANA Code of Ethics for Nurses
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The Ethics Committee’s Guidelines
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The Nurse-Patient Partnership