Healthcare Reporting and Ethics Quiz
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Questions and Answers

What is the primary purpose of reporting in a healthcare setting?

  • To communicate specific information to a person or group (correct)
  • To summarize statistical data for government agencies
  • To provide entertainment during meetings
  • To record financial transactions of the agency
  • What is typically included in a report according to standard practices?

  • Excessive detail to ensure no information is missed
  • Emotional responses to patient interactions
  • Personal opinions of the healthcare providers
  • Concise pertinent information without extraneous detail (correct)
  • What type of meeting is a care plan conference?

  • A review meeting for financial audits
  • An annual event for client appreciation
  • A meeting to discuss potential solutions to client problems (correct)
  • A gathering of nurses to brainstorm new marketing strategies
  • What is one common deficiency in record keeping?

    <p>Failure to record action taken when problems are identified (C)</p> Signup and view all the answers

    During nursing rounds, what is one objective of visiting clients at their bedside?

    <p>Obtain information to help plan nursing care (C)</p> Signup and view all the answers

    What is a significant aspect to remember about telephone orders from primary care providers?

    <p>They may lead to ambiguity in patient care (D)</p> Signup and view all the answers

    How often can reports be compiled in a healthcare setting?

    <p>Daily, weekly, monthly, quarterly, and annually (C)</p> Signup and view all the answers

    What should comprehensive nursing assessments include?

    <p>Relevant information with actions taken in response to patient conditions (A)</p> Signup and view all the answers

    What is the significance of understanding moral distress in health care?

    <p>It assists in recognizing emotional suffering due to ethical dilemmas. (D)</p> Signup and view all the answers

    Which step involves determining what information is needed to support a decision?

    <p>Determining facts (A)</p> Signup and view all the answers

    What is the primary objective of promoting health consciousness among the public according to the policy declaration?

    <p>To effectively carry out health programs and projects. (C)</p> Signup and view all the answers

    Which of the following is a focus for improving the conditions of health workers?

    <p>Enhancing their living and working conditions. (B)</p> Signup and view all the answers

    What action should health workers consider when faced with moral distress?

    <p>Seek advice from someone they trust. (D)</p> Signup and view all the answers

    What is an essential characteristic of ethical codes in nursing?

    <p>They must be enforceable standards of conduct. (B)</p> Signup and view all the answers

    Which of the following is NOT included as a primary aim of the health policy?

    <p>To impose penalties on non-compliant health workers. (A)</p> Signup and view all the answers

    What is a key step involved after determining the facts in the decision-making process?

    <p>Identifying and eliminating several options. (D)</p> Signup and view all the answers

    Which of the following is NOT a key element for effective handoff?

    <p>Creative writing (A)</p> Signup and view all the answers

    What is one purpose of having comprehensive patient records?

    <p>To indicate plans for future healthcare (A)</p> Signup and view all the answers

    Which item is NOT typically included in a patient's records?

    <p>Financial statements (C)</p> Signup and view all the answers

    What should a nurse document when receiving a telephone report?

    <p>The date and time of the report (A)</p> Signup and view all the answers

    Which element supports interactive communication in care management?

    <p>Accuracy (C)</p> Signup and view all the answers

    What characteristic of patient records is related to legal prudence?

    <p>Follows accepted terminology (D)</p> Signup and view all the answers

    Which of the following best describes the characteristic of 'Appropriateness' in patient communication?

    <p>Providing relevant client data (B)</p> Signup and view all the answers

    What aids in verifying information during patient handoff?

    <p>Interactive communication (A)</p> Signup and view all the answers

    What is the penalty for planting or cultivating marijuana without authorization?

    <p>Imprisonment ranging from 6 months to 4 years (D)</p> Signup and view all the answers

    Which organization is dedicated to helping children in the Philippines?

    <p>Save the Children (C)</p> Signup and view all the answers

    What is NOT mentioned as a service provided by Save the Children?

    <p>Preventing illegal drug use (C)</p> Signup and view all the answers

    Under what circumstance might a person be fined between 10,000 and 50,000 pesos?

    <p>For possessing dangerous drugs without authorization (D)</p> Signup and view all the answers

    What right does a woman or her child have according to the content?

    <p>The right to desist from restrictive conduct (A)</p> Signup and view all the answers

    What may be classified as a dangerous drug in the context of the penalties described?

    <p>Any drug manufactured from specified plants (B)</p> Signup and view all the answers

    What action would NOT be considered an unnecessary prescription of dangerous drugs?

    <p>Administering drugs for health benefits (D)</p> Signup and view all the answers

    Which of the following actions is considered a violation during humanitarian responses?

    <p>Preventing entry and distribution of relief goods (B)</p> Signup and view all the answers

    What is the primary objective of the Expanded Senior Citizens Act of 2003?

    <p>To expand benefits and privileges of senior citizens (D)</p> Signup and view all the answers

    Which of the following is a requirement for business establishments under the Expanded Senior Citizens Act?

    <p>Grant a 20-percent discount on goods and services (C)</p> Signup and view all the answers

    What does the government intend to achieve in its drug control program as mentioned in the content?

    <p>A balance that allows necessary medical treatments (B)</p> Signup and view all the answers

    What is the responsibility of the Office of Senior Citizens Affairs (Osca)?

    <p>To oversee the organization of senior citizen services (D)</p> Signup and view all the answers

    What penalty is imposed on those maintaining a den for dangerous drug use?

    <p>A fine ranging from One million to Fifteen million pesos (B)</p> Signup and view all the answers

    Which of the following is exempted from income tax for senior citizens?

    <p>Individual income tax for senior citizens (B)</p> Signup and view all the answers

    What should the focus of the government’s campaign against dangerous drugs be?

    <p>Prevent trafficking while allowing necessary medical usage (A)</p> Signup and view all the answers

    What is one of the conditions that exempt senior citizens from certain payments?

    <p>Having medical and health care expenses (B)</p> Signup and view all the answers

    What is the penalty for possession of a dangerous drug without legal authorization?

    <p>Six years and one day to twelve years imprisonment and a fine ranging from P50,000 to P200,000 (B)</p> Signup and view all the answers

    How does the law address the possession of large quantities of dangerous drugs?

    <p>It imposes a more severe punishment including life imprisonment. (D)</p> Signup and view all the answers

    What is the fine imposed for a person who illegally cultivates or possesses equipment for dangerous drugs?

    <p>Fines can range from P500,000 to P10 million. (C)</p> Signup and view all the answers

    Under the Cheaper Medicines Act, what is the primary goal of the legislation?

    <p>To assure affordable and accessible quality medicines for Filipinos. (C)</p> Signup and view all the answers

    What is the maximum penalty for a person caught with dangerous drugs for the second time?

    <p>Life imprisonment and a fine up to P10 million. (B)</p> Signup and view all the answers

    What does the law imply regarding prescriptions for dangerous drugs?

    <p>Prescriptions are only valid if authorized by the law. (C)</p> Signup and view all the answers

    What consequence follows if a person is found in possession of a dangerous drug and is also tested?

    <p>Penalties may increase based on the quantity of the drug possessed. (A)</p> Signup and view all the answers

    What constitutes a dangerous drug under the law?

    <p>Any substance that can cause harm to individuals or society. (B)</p> Signup and view all the answers

    Flashcards

    CBE Elements

    Key components of Client-Based Evaluation (CBE) that focus on planning, assessment, interventions, and evaluation and revision of care.

    Handoff Communication

    Essential elements for effective communication during client handovers, including up-to-date information, interactive communication, and methods for verification.

    Patient Record Goals

    The primary purposes of patient records, including tracking progress toward goals, aiding in studying health conditions, and assisting in planning care.

    Record Legibility

    One of the key elements of CBE, ensuring that patient records are written in a clear and readable manner.

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    Record Permanence

    Ensuring that patient records are maintained in a durable and lasting format for future reference.

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    Telephone Report

    A method of communication where health professionals provide updates about a client's condition via telephone.

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    Record Accuracy

    Essential in CBE, ensuring that patient records contain truthful and correct information.

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    Patient Record Components

    The various types of documentation included in a patient record, including medical records, nursing notes, medication charts, and laboratory reports.

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    What is the purpose of reporting in healthcare?

    Reporting is used to communicate specific information about patients and their care to other healthcare professionals, whether in writing or orally.

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    What is a care plan conference?

    A meeting where nurses discuss a patient's care plan, aiming to find solutions to problems like difficulty coping with events or slow progress towards goals.

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    What does a nursing round involve?

    A procedure where two or more nurses visit patients at their bedsides to gather information, plan care, and provide opportunities for patients to discuss their care.

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    Change-of-Shift Reports

    These reports are given by nurses at the end of their shift to the oncoming nurses, providing information about the patients' condition, care provided, and any relevant observations.

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    What makes a good report?

    Concise and pertinent information. Avoid extra details. Use clear and accurate language.

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    Common Deficiencies in Record Keeping

    Common errors include lack of clarity, inaccuracies, spelling mistakes, missing information, and failing to document actions taken after identifying a problem.

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    Legal Issues in Record Keeping

    Thorough documentation is crucial due to legal issues. Accurate assessments, relevant actions, and a demonstration of duty of care are essential.

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    What type of content should be included in a nursing assessment?

    The content should include a comprehensive assessment of the patient, relevant information about their condition, any actions taken in response to changes in the patient's condition, and demonstrations of duty of care.

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    What is the most important part of clarifying goals?

    Identifying what is wanted and what is not, and how both are affected by the decision.

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    What is the purpose of ethical codes in healthcare?

    To provide enforceable standards of conduct and indicate considerations professionals must consider.

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    What is moral distress?

    The emotional suffering experienced when unable to act in accordance with one's moral beliefs.

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    What is the goal of 'The State' in the Philippines' health policy?

    To instill health consciousness among its people.

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    What is the first goal of Philippines' health policy?

    To promote and improve the social & economic well-being of health workers.

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    What is the second goal of the Philippines' health policy?

    To develop health workers' skills and capabilities.

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    What are the key aspects of ethical decision-making?

    Clarifying goals, determining facts, developing options, and identifying and eliminating options.

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    Why is adequate information crucial in ethical decision-making?

    To support a choice and ensure informed judgement.

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    Expanded Senior Citizens Act

    RA 9257, which expands benefits and privileges for senior citizens, making a 20% discount mandatory in businesses, and establishes the Office of Senior Citizens Affairs (Osca).

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    Osca

    The Office of Senior Citizens Affairs, established at the city or municipal mayor's office.

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    What discounts do businesses give to senior citizens?

    Businesses must grant a 20% discount on goods and services to senior citizens.

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    What is the purpose of the Osca?

    The Osca organizes and selects its head, and focuses on the needs and rights of senior citizens.

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    What are the penalties for maintaining a drug den?

    A fine ranging from P500,000.00 to P10,000,000.00 can be imposed on anyone maintaining a den, dive, or resort where drugs are used or sold.

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    What are the penalties for operating a drug den?

    The maintainer, owner, and/or operator of a drug den can face the penalty of death and a fine ranging from P1,000,000.00 to P15,000,000.00.

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    What are the penalties for employees and visitors of a drug den?

    Employees and visitors of a drug den can face a fine ranging from P500,000.00 to P10,000,000.00.

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    Balance in drug control

    The government aims to balance the national drug control program, ensuring legitimate medical needs aren't hindered while controlling drug abuse.

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    Possession of Dangerous Drugs

    The act of having any amount of a dangerous drug without legal authorization, punishable by life imprisonment to death and a fine of P500,000.00 to P10,000,000.00.

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    Penalty for Manufacturing Dangerous Drugs

    If a person produces, processes, or prepares dangerous drugs without authorization, they face imprisonment ranging from 6 years and 1 day to 12 years, plus a fine of P50,000.00 to P200,000.00.

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    Penalty for Second-Time Offender

    A person caught possessing dangerous drugs for the second time will receive a harsher penalty - imprisonment ranging from 6 years and 1 day to 12 years, plus a fine of P50,000.00 to P200,000.00.

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    What are dangerous drugs?

    Dangerous drugs are substances prohibited by law due to their potential for addiction, abuse, or harmful effects.

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    Punishment for Illegal Prescriptions

    Anyone writing a prescription for dangerous drugs without authorization will face a penalty. This includes prescriptions written for illegal substances.

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    Cheaper Medicines Act

    This law aims to provide affordable and quality medications to all Filipinos, especially the poor.

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    Cultivation of Dangerous Plants

    Planting or growing a dangerous plant is a serious offense with a penalty of life imprisonment to death and a fine ranging from P500,000.00 to P10,000,000.00.

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    Possession of Equipment for Dangerous Drugs

    Owning or possessing any equipment or tools used for making or handling dangerous drugs is a crime, carrying the same penalty as cultivating dangerous plants.

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    Marijuana Penalty

    Possessing, cultivating, or using marijuana can result in imprisonment from 6 months to 4 years and a fine of P10,000 to P50,000.

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    Dangerous Drug Paraphernalia

    Having equipment for smoking, injecting, or consuming illegal drugs can lead to a fine from P10,000 to P50,000.

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    Unnecessary Prescription of Dangerous Drugs

    Prescribing drugs unnecessarily can lead to penalties.

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    Save the Children's Focus

    Save the Children works to provide children with access to quality education, healthcare, and protection in times of need.

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    Save the Children's Support

    Save the Children collaborates with governments to ensure children have access to basic services and their rights are protected.

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    Humanitarian Response During Disasters

    Save the Children provides care, emotional support, and help for children affected by disasters.

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    Preventing Relief Goods Access

    Illegal actions like preventing, diverting, or seizing relief goods after disasters are punishable.

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    Save the Children's Timeframe

    Save the Children has been operating in the Philippines for over 30 years, helping children in various ways.

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    Study Notes

    Importance and Uses of Records

    • Reports are oral, written, or computer-based communication conveying information.
    • Records (charts, client records) are formal, legal documents documenting client care. They provide evidence of care and can be written or computer-based.
    • Nurses are ethically obligated to maintain patient confidentiality.
    • Client records are legally protected private documents.
    • Access to records is limited to healthcare professionals providing care.
    • Institutions are the rightful owners of client records.

    Confidentiality of Computer Records

    • Personal passwords are needed to access and sign off on computer files.
    • Never leave a computer terminal unattended while logged in.
    • Prevent client information from being visible on the screen to others.
    • Shred unneeded computer-generated worksheets.
    • Follow facility policies for correcting entry errors.

    Purposes of Client Records

    • Communication
    • Planning client care
    • Auditing health agencies
    • Research
    • Education
    • Reimbursement
    • Legal documentation
    • Health care analysis

    Principles of Record Writing

    • Records should be clear, appropriate, and legible.
    • Records should contain only observed facts, conversations, and actions.
    • Records should be neat, complete, and uniform.
    • Records should be handled and accounted for carefully.
    • Records should be written immediately after an interview.

    Values & Uses of Records

    • Records provide essential facts for service delivery and short-term/long-term planning.
    • Records prevent service duplication and effectively follow up services.
    • They help evaluate care, teaching effectiveness, and allow nurses to organize work & effectively use time.
    • They promote professional growth.
    • Records measure quality/quantity of work and serves as a valuable teaching tool.
    • Records support diagnosis, treatment, and evaluation of work services.
    • They help spot families requiring service and/or those ready to accept help.
    • Records offer guidance to staff and students.
    • They allow administrators to assess the health needs of a community.
    • Records are legal evidence of the service rendered by each worker.
    • They justify the expenditure of funds.

    Types of Records & Reports (Documentation Systems)

    • Source-Oriented Record: Traditional record with narrative charting. Includes routine care, normal findings, and client problems.

      • Advantages: Convenient, easy to locate specific information for a given discipline.
      • Disadvantages: Information about a particular client problem is scattered through the chart, decreased communication among health team members.
    • Problem-Oriented Medical Record (POMR): Organizes data according to client problems, not source of information.

      • Advantages: Encourages teamwork/ collaboration; problem list in front of chart alerts caregivers to client issues; easier to track problem status updates.
      • Disadvantages: Caregivers might have different charting abilities, necessitates keeping an up-to-date problem list, some inefficiency as interventions/assessments might need repetition.
    • PIE (Problem, Intervention, Evaluation) Model: System uses a client assessment flow sheet and progress notes.

    • Focus Charting: Focuses on client's specific concerns, strengths & conditions for care.

    • Charting by Exception (CBE): Records only abnormal or important findings.

    • Computerized Documentation (Electronic Health Records): A single record that integrates pertinent client data..

    • Case Management: A multidisciplinary approach focusing on efficiency of care within a set timeframe. Emphasizes cost-effectiveness and quality care.

    Formats of Progress Notes

    • SOAP (Subjective, Objective, Assessment, Plan)
    • SOAPIE (Subjective, Objective, Assessment, Plan, Intervention, Evaluation)
    • SOAPIER (Subjective, Objective, Assessment, Plan, Intervention, Evaluation, and Revision)

    Key Elements for Effective Handoff Communication

    • Up-to-date information
    • Interactive communication
    • Method for verifying information
    • Minimal interruptions
    • Opportunity for receiver of information to review relevant client data

    Purposes of Writing Reports

    • Display amount/type of work performed.
    • Track progress toward achieving goals.
    • Help in health conditions research.
    • Help guide planning activities.
    • Interpretation of services for external groups and interested agencies.

    Ethical Considerations in Community Health Nursing

    • Ethical codes established by professional bodies (like ANA) outline duties & obligations.
    • Respecting human dignity and avoiding prejudice when serving.
    • Protecting patient privacy and confidentiality.
    • Protecting the public from incompetent, unethical, or illegal practices.
    • Nurses take personal responsibility for actions and decisions.
    • Demonstrating professional competence and using good judgment.
    • Seeking consultation, accepting responsibility, and appropriately delegating tasks
    • Supporting professional development, improved nursing standards, and public health care.

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