Legal ,Ethical, and Financial Considerations
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Questions and Answers

A licensed practical nurse(LPN)finds a resident unresponsive, calls for help, and instructs the staff to call 911 and bring emergency supplies while setting up oxygen for the resident. What is this nurse guilty of doing?

  • The LPN should have called 911
  • The LPN did not document the event
  • The LPN functioned within the scope of practice (correct)
  • The LPN should have requested a physician's order for the oxygen.
  • An older patient experiencing severe cancer pain is restless and refuses pain medication. Which is a ethical approach to this problem?

  • Discuss with the patient feelings about the pain and the medication. (correct)
  • Call the family to ensure that the resident's choice is in the living will
  • Withhold the medication, because all residents have the right to refuse care.
  • Give the medication, because the resident's decision may be related to delirium
  • The LPN suspects that an older resident is being abused. Which action should the nurse take?

  • Review the care of other residents
  • Document and investigate the incident
  • Report the incident to the local, county, or state authorities (correct)
  • Discusssuspicions at the next interdicplinary team meeting
  • A certifies nursing assistant(CNA) uses soft restraints to protect a resident from falling out of bed even though there was no order for their usage. On rounds several hours later, the residnet is found not breathing, tangled with the restraints around the neck. What is the responsibility of the LPN?

    <p>Guilty of negligence</p> Signup and view all the answers

    The nurse lives in Erie. Pennsylvania, but sees home care patients in New York, Pennsylvania, and Ohio. Which state licensure requirements should the nurse follow?

    <p>All of the states</p> Signup and view all the answers

    While making afternoon rounds the charge nurse sees a resident sitting in a geriatric chair with a tray. What should the nurse do?

    <p>Transfer to another chair</p> Signup and view all the answers

    During morning care an older male resident begins to masturbate. What should the CNA do?

    <p>Leave the resident tot complete the action in private</p> Signup and view all the answers

    The nurse is reviewing the Patient Care Partnership document. Which information should the nurse expect to find in this document? Select all that apply

    <p>Billing and collection policies</p> Signup and view all the answers

    The nurse is admitting a resident to a nursing facility. Which action should the nurse take when enforcing the Patient Self-Determination Act of 1990? Select all that apply.

    <p>Ask if the resident has a living will</p> Signup and view all the answers

    The director of nursing is concerned that one staff nurse is at risk for liability issues when providing resident care. What did the director observe to make this decision? Select all that apply

    <p>The nurse changed medication dosage</p> Signup and view all the answers

    The nurse is reviewing information about liability. Which should the nurse identify as a characteristic of a prudent, responsible nurse? Select all apply

    <p>Attends seminars</p> Signup and view all the answers

    The nurse is caring for a resident who has a tendency to wander. Which be used in place of restraints for this resident? Select all apply

    <p>Alarm doors</p> Signup and view all the answers

    The nurse revies the parts of Medicare with a resident who will be 65 years of age in a few months. Which parts should the nurse identify that are associated with a monthly premium? Select all that apply

    <p>B</p> Signup and view all the answers

    A resident of a nursing facility asks about Medicaid. Which should the nurse explain in response? Select all that apply

    <p>It includes acute care</p> Signup and view all the answers

    The nurse reviews information with the affordable Care Act(ACA) which should the nurse identify that impacts Medicare? Select all that apply

    <p>Included more preventive services</p> Signup and view all the answers

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