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List FOUR necessary qualities for ethical patient care:
- A. Compassion
- B. Honesty
- C. Respect
- D. Competence
Correct Answer: A,B,C,D
Rationale: These qualities ensure care is patient-centered, truthful, respectful, and professionally executed.
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The LPN/LVN has delegated to the UAP the task of getting a patient out of bed for the first time after abdominal surgery. When the UAP enters the patient's room, he finds her very short of breath and complaining of chest pressure. According to the rights of delegation, which right does this fall under?
- A. Right task
- B. Right circumstance
- C. Right person
- D. Right direction
Correct Answer: B
Rationale: The right circumstance ensures the task is appropriate given the patient's condition, which has changed.
What about the patient's comments concerns you?
- A. Patient's expectation to get pregnant post-surgery
- B. Patient's anxiety about the surgery
- C. Patient's desire to fix stomach pain
- D. Patient's plan for three or four children
Correct Answer: A
Rationale: The patient is unaware of the potential hysterectomy, which would prevent pregnancy, indicating a lack of informed consent.
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.
Who owns a hospitalized patient's medical record?
- A. The patient
- B. The physician
- C. The hospital
- D. The patient's primary care nurse
- E. The patient's insurance company
Correct Answer: C
Rationale: The hospital owns the physical medical record, though the patient has rights to access the information.
Which health-care provider is identified as the patient's advocate?
- A. Nurse
- B. Physician
- C. Social worker
- D. Unit clerk
Correct Answer: A
Rationale: Nurses are often designated as patient advocates, ensuring patient needs and preferences are communicated.