Podcast
Questions and Answers
What ethical issue is demonstrated when Dorothy, a nursing assistant, makes fun of the way one of her residents speaks English?
What ethical issue is demonstrated when Dorothy, a nursing assistant, makes fun of the way one of her residents speaks English?
Ethical
What legal issue is represented by Dennis taking a book from a resident with dementia?
What legal issue is represented by Dennis taking a book from a resident with dementia?
Legal
What ethical issue is present when Lisa is ten minutes late for work and does not inform her supervisor?
What ethical issue is present when Lisa is ten minutes late for work and does not inform her supervisor?
Ethical
What legal issue does Paula face when she fabricates a blood pressure reading on a resident's chart?
What legal issue does Paula face when she fabricates a blood pressure reading on a resident's chart?
What does the Omnibus Budget Reconciliation Act (OBRA) set minimum standards for?
What does the Omnibus Budget Reconciliation Act (OBRA) set minimum standards for?
According to OBRA, nursing assistants must complete at least __ hours of training before employment.
According to OBRA, nursing assistants must complete at least __ hours of training before employment.
What required topic must be covered during nursing assistant (NA) training per OBRA?
What required topic must be covered during nursing assistant (NA) training per OBRA?
What is the purpose of the Minimum Data Set (MDS)?
What is the purpose of the Minimum Data Set (MDS)?
How often must an MDS be completed for each resident?
How often must an MDS be completed for each resident?
Which residents' right is violated when staff allows a visually-impaired resident to go without glasses?
Which residents' right is violated when staff allows a visually-impaired resident to go without glasses?
What right is being violated when Mr. Gallerano is told he cannot have dinner until he takes his medication?
What right is being violated when Mr. Gallerano is told he cannot have dinner until he takes his medication?
Which residents' right is violated when Jim denies Ms. Mayes the option to wear her favorite sweater?
Which residents' right is violated when Jim denies Ms. Mayes the option to wear her favorite sweater?
What residents' right is being violated when Amy shares funny stories about her residents with her family?
What residents' right is being violated when Amy shares funny stories about her residents with her family?
What right is being violated when Laura physically reprimands Mr. Young during dinner?
What right is being violated when Laura physically reprimands Mr. Young during dinner?
Which right is violated when James borrows Mrs. Hart's bracelet without her knowledge?
Which right is violated when James borrows Mrs. Hart's bracelet without her knowledge?
What residents' right is being violated when Anne prevents Ms. Land from seeing her daughter?
What residents' right is being violated when Anne prevents Ms. Land from seeing her daughter?
What right is violated when Pete threatens a resident not to report an incident?
What right is violated when Pete threatens a resident not to report an incident?
What is the definition of abuse in the context of elderly care?
What is the definition of abuse in the context of elderly care?
What is active neglect?
What is active neglect?
What is the definition of assault?
What is the definition of assault?
What is defined as battery?
What is defined as battery?
Define domestic violence.
Define domestic violence.
What constitutes false imprisonment?
What constitutes false imprisonment?
What is financial abuse?
What is financial abuse?
What does involuntary seclusion refer to?
What does involuntary seclusion refer to?
What is malpractice?
What is malpractice?
Define neglect.
Define neglect.
What is negligence?
What is negligence?
What is passive neglect?
What is passive neglect?
What is physical abuse?
What is physical abuse?
Define psychological abuse.
Define psychological abuse.
What is sexual abuse?
What is sexual abuse?
Define sexual harassment.
Define sexual harassment.
What is substance abuse?
What is substance abuse?
What is verbal abuse?
What is verbal abuse?
Define workplace violence.
Define workplace violence.
What are mandated reporters?
What are mandated reporters?
If a resident wants to make a complaint of abuse, what must a nursing assistant do?
If a resident wants to make a complaint of abuse, what must a nursing assistant do?
When performing a procedure on a resident, what should the nursing assistant (NA) do?
When performing a procedure on a resident, what should the nursing assistant (NA) do?
What is the best response by a nursing assistant if a resident refuses to take a bath?
What is the best response by a nursing assistant if a resident refuses to take a bath?
What should a nursing assistant say when asked to share personal details about a resident?
What should a nursing assistant say when asked to share personal details about a resident?
What should a nursing assistant do if they suspect a resident is being abused?
What should a nursing assistant do if they suspect a resident is being abused?
What normally happens immediately when a report of abuse against a nursing assistant is made?
What normally happens immediately when a report of abuse against a nursing assistant is made?
What is one task of an ombudsman?
What is one task of an ombudsman?
An ombudsman is assigned by law as the ______ advocate for residents.
An ombudsman is assigned by law as the ______ advocate for residents.
Who do ombudsmen assist and support?
Who do ombudsmen assist and support?
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)?
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)?
What is included under protected health information?
What is included under protected health information?
What should a nursing assistant do if someone not directly involved with a resident's care asks for the resident's PHI?
What should a nursing assistant do if someone not directly involved with a resident's care asks for the resident's PHI?
Which is one way to keep private health information confidential?
Which is one way to keep private health information confidential?
What is the abbreviation for the law that provides protection and security of consumers' electronic health records?
What is the abbreviation for the law that provides protection and security of consumers' electronic health records?
What is an advance directive?
What is an advance directive?
What is a durable power of attorney for health care?
What is a durable power of attorney for health care?
What is a do-not-resuscitate (DNR) order?
What is a do-not-resuscitate (DNR) order?
What is a living will?
What is a living will?
What does a Physician Orders for Life-Sustaining Treatment (POLST) do?
What does a Physician Orders for Life-Sustaining Treatment (POLST) do?
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Study Notes
Legal and Ethical Issues in Healthcare
- Ethical concerns arise when caregivers treat residents disrespectfully, such as mocking their communication skills.
- Legal issues may involve unauthorized taking of personal items from residents, impacting care quality.
Residents' Rights
- The Omnibus Budget Reconciliation Act (OBRA) mandates nursing assistant training standards.
- Minimum training hours required by OBRA is 75, including competency evaluations.
- Required training topics under OBRA include promoting residents' legal rights and maintaining wellness.
Assessments and Care Compliance
- The Minimum Data Set (MDS) is essential for assessing residents and addressing their health issues.
- The MDS should be updated with any major changes in a resident's condition to ensure adequate care.
Violations of Residents' Rights
- Residents have the right to wellness services; denying this violates their rights.
- Caregivers cannot force residents to take medication as it infringes on their participation rights.
- Residents are entitled to make personal choices, including clothing selections, which must be respected.
- Privacy and confidentiality must be upheld; discussing residents outside of care settings breaches their rights.
Types of Abuse
- Abuse is defined as purposeful harm leading to physical or emotional injury.
- Active neglect refers to a failure to provide essential care, intentionally harming the resident.
- Battery involves unwanted physical contact, while assault instills fear of potential harm.
- Financial, psychological, and physical abuses undermine residents' dignity and security.
Legal Terminologies and Actions
- False imprisonment is unlawful confinement affecting movement freedom.
- Malpractice stems from negligence or lack of skill causing harm during professional duties.
- Nursing assistants must suspect and report any form of resident abuse promptly.
Reporting and Confidentiality
- Mandated reporters are legally required to report observed neglect or abuse.
- Nursing assistants must support residents wishing to make complaints about abuse, ensuring they know their rights.
- Obligation to report includes notifying nurses about suspected abuse incidents immediately.
Health Information Protection
- The Health Insurance Portability and Accountability Act (HIPAA) safeguards the privacy of health information.
- Protected health information encompasses social security numbers and other sensitive data.
- Nursing assistants must protect confidential health information, refusing to disclose it to unauthorized individuals.
Advance Directives
- Advance directives, including durable power of attorney for health care, guide medical decision-making for incapacitated individuals.
- Do-not-resuscitate (DNR) orders prohibit CPR for patients whose heart or breathing stops, ensuring their end-of-life choices are honored.
- Living wills specify desired treatment preferences if a person cannot make decisions.
- Physician Orders for Life-Sustaining Treatment (POLST) provides actionable medical orders based on patient-physician discussions.
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