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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
- A. An ethical dilemma.
- B. Advocating for the patient.
- C. Do-not-resuscitate orders.
- D. A situation for the ethics committee.
Correct Answer: B
Rationale: The nurse supports the patient's autonomy and decision-making, acting as an advocate.
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A 17-year-old girl would be considered an emancipated minor in which of the following situations or conditions?
- 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 U.S. Army
Correct Answer: A,B,D,E
Rationale: These conditions legally qualify a minor as emancipated, granting adult status.
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?
- A. Yes
- B. No
Correct Answer: A
Rationale: Discussing patient information in a public setting, even unintentionally, can be a breach of confidentiality under HIPAA if overheard.
A------------- 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.
- A. Minor
- B. Emancipated minor
- C. Dependent
- D. Ward
Correct Answer: B
Rationale: An emancipated minor is a person under 18 who is legally considered an adult due to specific circumstances like marriage, military service, or self-support.
Which of the following data should be included in an incident report regarding each incident?
- 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.
Correct Answer: B,C,D
Rationale: Incident reports should include objective, factual details like medication specifics, vital signs, and injury descriptions, not assumptions.
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?
- A. Military hospital
- B. Private hospital
- C. Teaching hospital
- D. Public hospital
Correct Answer: A
Rationale: Military hospitals often have strict policies requiring shredding of notes to protect sensitive patient information.