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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.
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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.
In a court of law, there is a standard regarding documentation in patients' records. What is this standard and what does it mean?
- A. If it wasn't documented, it wasn't done
- B. Document only what you observe
- C. Document only what the patient reports
- D. Document only physician orders
Correct Answer: A
Rationale: This standard means that undocumented actions are assumed not to have occurred in legal proceedings.
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.
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.
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.