Exam 3: Legal and Ethical Issues

What provisions for nursing service are part of the Omnibus Budget Reconciliation Act (OBRA)as it pertains to long-term care facilities? (Select all that apply. )

A nurse caring for older adult patients shows an understanding of the implementation of standards of care when

The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary and cardiac resuscitation.The family expresses a concern that the patient may "change her mind." The nurse best reassures the family by stating

An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury.The nurse's planned intervention to minimize the patient's risk for injury is guided by which of the following?

A nurse responsible for the care of older adult patients shows the best understanding of the nursing standards of practice when basing nursing care on which of the following?

A patient residing in a long-term care facility has been experiencing restlessness and has often been found by nursing staff wandering in and out of other patients' rooms during the night.The nurse views the patient's PRN antipsychotic medication order as which of the following?

To meet current guidelines regarding incontinence in a long-term care facility,what action by the director of nursing is best?

The director of nursing at a long-term care facility is getting ready for the annual inspection.What information guides the director?

An older adult patient has been approached to participate in a research study.The nurse best advocates for the patient's right to self-determination by doing which of the following?

An alert but disoriented older patient lives with family members.The home health nurse,being aware of the role of patient advocate,recognizes the obligation to report possible patient abuse based on which of the following?

During the state inspection of a skilled nursing facility,a surveyor notes suspicion that a particular nurse may not be providing the proper standard of care.The nurse manager informs the nurse to expect

The manager of a long-term care facility is evaluating patients' use of drugs.The resident on which of the following medications would be allowed to continue taking medications to control behavior?

The director of nursing at a certified long-term care facility overhauls the nursing assistant training program to include which features? (Select all that apply. )

An 87-year-old patient is unsure of the purpose of a living will.Which statement by the nurse is the best description?

A graduate nurse learns about the provisions of the Health Insurance Portability and Accountability Act (HIPAA),which include which of the following?

To best address the patient's right to self-determination,which of the following questions does the nurse ask at the time the patient is admitted to a nursing facility? (Select all that apply. )

The nursing student learns about the Patient Self-Determination Act.What is a key provision of this act?

The adult child of a long-term care facility resident receives a phone call from the director of nursing stating that resident has 30 days to move out of the home.Under what conditions can a facility require a resident to move? (Select all that apply. )

The nurse manager in a long-term care facility reviews resident care plans at what interval?

A nurse new to gerontologic nursing asks the nurse manager to clarify how to handle a patient's claim that she has been physically abused.The nurse manager responds most appropriately when stating