Health care ethics

1. Which of the following is most likely considered a competent patient? (Points : 5) ÿÿÿÿÿÿA 63-year-old patient diagnosed with dementia ÿÿÿÿÿÿA 43-year-old patient diagnosed with dementia ÿÿÿÿÿÿA 36-year-old female patient abused by her spouse ÿÿÿÿÿÿA 15-year-old patient who is anemicQuestion 2. 2. The general rule regarding competency states that a person is presumed to be competent unless there is a valid reason to believe otherwise. Which of the following patients might not be competent? (Points : 5) ÿÿÿÿÿÿA wheelchair patient who lives in a nursing home because of her inability to walk more than a few feet ÿÿÿÿÿÿAn adult male patient with a history of clinical depression ÿÿÿÿÿÿA 55-year-old adult male patient who lives independently but has a court-appointed guardian ÿÿÿÿÿÿA 21-year-old female cancer patientQuestion 3. 3. Consent is being sought for a patient to undergo chemotherapy. Which of the following would not be considered a surrogate decision maker in the event that the patient is unable to consent? (Points : 5) ÿÿÿÿÿÿThe parent of a 2-year-old child receiving chemotherapy ÿÿÿÿÿÿThe neighbor of an elderly adult receiving chemotherapy, if the adult patient has no family in the geographic area ÿÿÿÿÿÿThe adult son of a patient ÿÿÿÿÿÿA court-appointed guardian of the patientQuestion 4. 4. The patient that expresses his or her wishes in writing with regard to medical treatment offers the following: (Points : 5) ÿÿÿÿÿÿAdvance directive ÿÿÿÿÿÿLiving will ÿÿÿÿÿÿEither a or b ÿÿÿÿÿÿNeither a or bQuestion 5. 5. Which of the following would be classified as a special circumstance with regard to consent? (Points : 5) ÿÿÿÿÿÿA patient with a rare disease requiring surgery ÿÿÿÿÿÿA patient in a mental health facility ÿÿÿÿÿÿA minor patient ÿÿÿÿÿÿA patient over the age of 65Question 6. 6. A patient comes to a medical office and demands that she be given her medical record. Which of these statements is false in this situation? (Points : 5) ÿÿÿÿÿÿThe patient is allowed to take her personal medical record. ÿÿÿÿÿÿThe patient is not allowed to take her medical record because the physical record belongs to the physician or health-care facility. ÿÿÿÿÿÿThe patient is the owner of the information in the record. ÿÿÿÿÿÿThe patient is not the owner of the physical record.Question 7. 7. The primary purpose of a medical record is to: (Points : 5) ÿÿÿÿÿÿPrevent liability lawsuits ÿÿÿÿÿÿProvide a format for health-care professionals to communicate with one another ÿÿÿÿÿÿServe as a reference for previous care the patient has received ÿÿÿÿÿÿPlan for future careQuestion 8. 8. Sue is a nurse providing care for patient. In which of the following situations is she not using the medical record according to the purposes of documentation? (Points : 5) ÿÿÿÿÿÿSue uses the information in the record to write a care plan. ÿÿÿÿÿÿSue checks the record to determine whether the patient refused her last medication. ÿÿÿÿÿÿSue looks at the record to confirm the spelling of a drug, which another patient is also taking, so that she can document it in the second patient?s chart. ÿÿÿÿÿÿSue documents an instance during which the patient refuses to take her medication.Question 9. 9. Which of the following identifies a patient?s strength? (Points : 5) ÿÿÿÿÿÿThe ability to walk to the restroom alone ÿÿÿÿÿÿThe ability to wash her face but not her legs and arms ÿÿÿÿÿÿThe ability to communicate but limited to written responses ÿÿÿÿÿÿThe ability to walk but only to the restroomQuestion 10. 10. All of the following are components of the medical record except: (Points : 5) ÿÿÿÿÿÿProgress notes ÿÿÿÿÿÿPlan of care ÿÿÿÿÿÿFlow sheets ÿÿÿÿÿÿAll of the aboveQuestion 11. 11. The argument over whether abortion is an option for women facing difficult pregnancies is a(n): (Points : 5) ÿÿÿÿÿÿMoral dilemma ÿÿÿÿÿÿCultural issue ÿÿÿÿÿÿEthical issue ÿÿÿÿÿÿBioethical issueQuestion 12. 12. Andrea knows that her employer has filed false insurance claims because he has asked her to add charges for procedures not performed on patients. If she discusses the matter confidentially with a fellow health-care provider whom she trusts and asks for advice, which approach to a bioethical dilemma is she using? (Points : 5) ÿÿÿÿÿÿIdentification ÿÿÿÿÿÿInformation ÿÿÿÿÿÿCommunication ÿÿÿÿÿÿChoiceQuestion 13. 13. Andre has been told by no fewer than three patients that they have received notice from their insurance companies. These notices stated that claims were filed from the office for service dates on which the patients are sure they did not visit the physician. Andrea is concerned and decides to investigate the patient charts. Which approach to a bioethical dilemma is she using? (Points : 5) ÿÿÿÿÿÿIdentification ÿÿÿÿÿÿInformation ÿÿÿÿÿÿCommunication ÿÿÿÿÿÿChoiceQuestion 14. 14. A health-care professional has been asked to enter a notation in a patient?s chart that is not factual. If the professional feels that she cannot discuss the situation with anyone, what approach to a bioethical dilemma can she take? (Points : 5) ÿÿÿÿÿÿIdentification ÿÿÿÿÿÿInformation ÿÿÿÿÿÿCommunication ÿÿÿÿÿÿChoiceQuestion 15. 15. Patients have a right to make decisions regarding their health care. This is reflected in the principle of respect for: (Points : 5) ÿÿÿÿÿÿAutonomy ÿÿÿÿÿÿBeneficence ÿÿÿÿÿÿNonmaleficence ÿÿÿÿÿÿIntegrityQuestion 16. 16. Which of the following nursing assistants might be exposing him- or herself to liability? (Points : 5) ÿÿÿÿÿÿOne who feeds a patient according to physician orders ÿÿÿÿÿÿOne who sees that a wheelchair is malfunctioning and reports it ÿÿÿÿÿÿOne who does not check on a patient who is in observation ÿÿÿÿÿÿOne who positions a patient according to the patient?s tolerance and physician?s ordersQuestion 17. 17. Which of the following medical assistants might be exposing him- or herself to liability? (Points : 5) ÿÿÿÿÿÿOne who assists a very ill patient in getting dressed even though the patient protests ÿÿÿÿÿÿOne who documents that the patient left the office angry ÿÿÿÿÿÿOne who checks on a patient every 10 minutes while the patient is being observed ÿÿÿÿÿÿOne who answers the patient?s question about chances for recoveryQuestion 18. 18. Health-care settings include which of the following places? (Points : 5) ÿÿÿÿÿÿNursing homes ÿÿÿÿÿÿHospitals ÿÿÿÿÿÿRehabilitation centers ÿÿÿÿÿÿAll of the aboveQuestion 19. 19. The role of the allied health professional as explained in this chapter is which of the following? (Points : 5) ÿÿÿÿÿÿTo properly provide services that are ordered ÿÿÿÿÿÿTo see that services provided are documented ÿÿÿÿÿÿTo practice safely and properly ÿÿÿÿÿÿAll of the aboveQuestion 20. 20. Which of the following allied health professionals is not performing a direct patient service? (Points : 5) ÿÿÿÿÿÿA medical assistant helping a physician as he removes sutures ÿÿÿÿÿÿA nursing assistant taking vital signs ÿÿÿÿÿÿA physical therapy assistant performing a physical therapy procedure ÿÿÿÿÿÿA respiratory therapist drawing a sample of blood for blood gasesQuestion 21. 21. Which of the following is not an advantage of alternative dispute resolution? (Points : 5) ÿÿÿÿÿÿIt is less expensive. ÿÿÿÿÿÿIt involves less publicity. ÿÿÿÿÿÿNo attorneys are allowed. ÿÿÿÿÿÿThere are no long court delays.Question 22. 22. Which of the following is a way to resolve conflicts using alternative dispute resolution? (Points : 5) ÿÿÿÿÿÿNegotiation ÿÿÿÿÿÿMediation ÿÿÿÿÿÿArbitration ÿÿÿÿÿÿAll of the aboveQuestion 23. 23. When people bargain for what they want, which resolution method are they using? (Points : 5) ÿÿÿÿÿÿMediation ÿÿÿÿÿÿNegotiation ÿÿÿÿÿÿArbitration ÿÿÿÿÿÿCommunicationQuestion 24. 24. The process by which a neutral third party facilitates dispute resolution is called: (Points : 5) ÿÿÿÿÿÿMediation ÿÿÿÿÿÿNegotiation ÿÿÿÿÿÿArbitration ÿÿÿÿÿÿCommunicationQuestion 25. 25. If a physician and patient need a controlled, structured setting, they may wish to try which of the following? (Points : 5) ÿÿÿÿÿÿMediation ÿÿÿÿÿÿNegotiation ÿÿÿÿÿÿArbitration ÿÿÿÿÿÿCommunication

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