Ethics and Legal Issues in Healthcare

ATI LPN · Ethics and Legal Issues in Healthcare

Question 1 of 53

A 67-year-old woman is diagnosed with breast cancer. She is fully alert and very specifically both verbally and in writing tells you that she does not want to have surgery on her breast to remove the tumor. She fully understands her condition and treatment options. This is a decision her husband and son both disagree with. Over the next several weeks the patient becomes confused and loses the capacity to understand the details of her medical care. The husband and son now approach you to perform the surgery. Which of the following is most appropriate?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 2 of 53

Mr. Dorone is a 22-year-old man who sustained a subdural hematoma and a brain contusion in a motor vehicle accident. He needs blood in order to have the necessary lifesaving surgery done. His parents refuse to allow the transfusion based on their religious beliefs. What should be done?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 3 of 53

What should a nurse do if they encounter conflicting orders from two physicians?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 4 of 53

A nurse receives a gift from a patient as a token of appreciation for their care. What action should the nurse take to uphold professionalism and ethical boundaries?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 5 of 53

The technique of counselling in which emotional aspects are more significant than the intellectual aspect, is known as

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 6 of 53

A nurse ensuring that a patient receives adequate pain relief is practicing which ethical principle?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 7 of 53

You have a patient with a strong family history of breast cancer. As a matter of the patient's request, you perform a BRCA genetic test to see if there is an increased risk for breast cancer. The patient's employer is requesting a copy of any genetic testing that may have been done. What should you do?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 8 of 53

Three skills needed to be a good advocate (Skill 3)

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 9 of 53

An unconscious 42-year-old man is brought to the emergency department by ambulance after sustaining a gunshot wound to the chest during an attempted robbery at a convenience store. He is bleeding profusely. The patient is minimally responsive to pain and is unable to provide any history. The ambulance record indicates that his initial blood pressure was $120 / 70 \mathrm{~mm} \mathrm{Hg}$, pulse was $95 / \mathrm{min}$, and respirations were $16 / \mathrm{min}$. The patient's current blood pressure is $70 / 40 \mathrm{~mm} \mathrm{Hg}$, pulse is $130 / \mathrm{min}$, and respirations are $28 / \mathrm{min}$. He has an open gunshot wound in the chest and an exit wound in the back. Intravenous fluids and vasopressors are started, and a blood transfusion is ordered. The patient's fiance arrives and states that he should not receive a blood transfusion because he is a devout Jehovah's Witness. No evidence is found in the medical chart of advance directives or a living will documenting the patient's wishes and examination of his belongings show no blood refusal card. Which of the following is the most appropriate next step in management of this patient?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 10 of 53

All of the following are indications of insulin therapy except:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 11 of 53

A nurse overhears a conversation among colleagues discussing confidential patient information outside of the designated work area.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 12 of 53

First two psychological stages of dying persons (Stage 2)

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 13 of 53

A 45-year-old man is brought to the emergency department following a serious motor vehicle collision on a California interstate highway. Despite all attempts to save him, his condition does not improve. The physician caring for him believes that he is brain dead. On examination, the patient's temperature is $36.7 \mathrm{C}(98 \mathrm{~F})$ and blood pressure is $104 / 60 \mathrm{~mm} \mathrm{Hg}$. He is on mechanical ventilation. Neurologic examination is consistent with brain death. Laboratory and imaging studies are not suggestive of a reversible cause. Apnea testing shows no spontaneous breathing. In accordance with local regulations, a second physician confirms the diagnosis of brain death. The patient's family understands the prognosis. Unfortunately, the patient does not have an advanced directive or durable medical power of attorney. Which of the following steps is legally necessary to remove this patient from the ventilator?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 14 of 53

There is a nurse caring for elderly patient with dementia and cancer, the patients husband asks for information about 'terminal sedation.' What type and how much medication could be used for peaceful death? The nurse gives him this information and arranges for the patient to be discharged home in his husband care. This type of action is best described as:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 15 of 53

What does the principle of justice in nursing ethics primarily concern?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 16 of 53

What is the ethical principle that involves keeping patient information confidential?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 17 of 53

Untreated diabetes may result in all of the following except:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 18 of 53

Which type of competence-based education is characterized by basic performance in the workplace?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 19 of 53

A nurse maintaining competence in their practice is adhering to which ethical principle?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 20 of 53

Besides informational, physical, decisional, and proprietary privacy, Beauchamp and Childress propose the following kind of privacy as important in medical ethics:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 21 of 53

Double effect in medical ethics is usually regarded as the combined effect of:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 22 of 53

The PA state board of nursing is what type of law?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 23 of 53

Elements of malpractice include the following except one:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 24 of 53

When should a nurse document an incident report?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 25 of 53

The person or government bringing a lawsuit against another party.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 26 of 53

Identify the third step in the MORAL decision-making model.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 27 of 53

A nurse is assigned to care for a patient whose religious beliefs conflict with the planned medical treatment.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 28 of 53

Moral arguments regarding abortion include which of the following:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 29 of 53

A 79-year-old man comes to see you for assistance in ending his life. The patient is fully competent and has been suffering from progressively worsening amyotrophic lateral sclerosis for several years. He is not immediately preterminal. Despite this, he finds his quality of life to be unacceptable. More important, he correctly predicts that his level of function will deteriorate over the next several months and that he may become ventilator dependent. He is requesting that you administer a lethal injection in his home. He is not depressed. His family is aware of his desire and they are willing to honor the patient's wishes. You have discussed appropriate palliative care issues. What should you tell him?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 30 of 53

A nurse is caring for a client who has expressed a desire to refuse treatment. What is the nurse's ethical responsibility in this situation?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 31 of 53

A nurse witnesses a coworker taking controlled substances from the medication cart without proper documentation. According to nursing ethics, what action should the nurse take?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 32 of 53

The 'right to treatment' refers to the right of

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 33 of 53

A nurse is caring for a patient who is nonverbal and unable to communicate their pain level.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 34 of 53

A 4-year-old with an obviously broken forearm is brought to the emergency department by her baby-sitter. Both the baby-sitter and emergency room staff have attempted to reach her parents without success. Can you treat this child without parental permission?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 35 of 53

The nurses' obligations in ethical decisions include which of the following?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 36 of 53

A standard or rule of conduct that is established and enforced by the government as a means of protecting the public.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 37 of 53

The nurse knows that a provider with type 1 diabetes became hypoglycemic while performing a bedside thoracentesis. The provider resisted assistance and finished the procedure despite being impaired. The nurse is upset by the provider's behavior. This is an example of nursing ethics.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 38 of 53

A nurse is caring for a client who has expressed religious beliefs that conflict with their medical treatment plan.

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 39 of 53

Proliferative retinopathy is often treated using:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 40 of 53

What is the key difference between virtue theory and other ethical theories?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 41 of 53

What is the ethical principle of doing no harm?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 42 of 53

You are seeing patients in clinic when two men in dark suits and dark glasses come in and show you badges marking them as members of a federal law enforcement agency. The identification is legitimate. These 'men in black' inform you that they are making a 'minor investigation' of one of your patients. They ask to look at the patient's chart for a few minutes, saying, 'You wouldn't want to interfere with a federal investigation, would you?' What should you do?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 43 of 53

When participants in research studies are told about the potential risks and are free to choose whether or not to be involved, it is called

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 44 of 53

A nurse is faced with a situation where two ethical principles seem to conflict. How should the nurse approach the ethical decision-making process in this case?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 45 of 53

Conduct and use research to extend nursing theory and improve health practice among community is:

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 46 of 53

Why is it important that personal data about research participants are kept within secure, confidential records?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 47 of 53

What should a nurse do if they make a medication error?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 48 of 53

Ensuring that a patient receives adequate pain relief is an example of which ethical principle?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 49 of 53

Which of the following statements is TRUE regarding the relationship between mental illness and dangerousness?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 50 of 53

A legal argument based on the notion that the defendant should not be held responsible for an illegal act if it is attributable to mental illness or intellectual disability that interferes with rationality is called

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 51 of 53

What ethical concept is central to the dilemma of allocating limited organ transplants and justifying who receives them?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 52 of 53

Which ethical principle requires a nurse to act honestly and truthfully?

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ATI LPN · Ethics and Legal Issues in Healthcare

Question 53 of 53

A nurse ensuring fair treatment for all patients is adhering to which ethical principle?

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