Exam 3: Legal and Ethical Issues

The nurse caring for an older patient who resides in an assisted living facility is asked to obtain and witness the patient's signature on a living will document.The nurse responds most appropriately when stating:

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?

An 87-year-old patient is unsure of the purpose of a living will.The nurse describes its purpose best when stating:

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

The adult child of a long-term care facility resident receives a phone call from the director of nursing stating that her parent 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 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:

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

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

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. )

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

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

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:

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:

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:

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

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 the:

The nurse recognizes that a nursing aide likely to abuse an older patient is one who has:

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

A nurse new to geriatric 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:

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. )