Question 1

Which nursing action best illustrates the ethical concept of beneficence?

Accepted Answer

A)  Providing a walker for a patient prior to ambulating in the hall 
B)  Allowing the patient to choose what time to have a shower 
C)  Asking the patient about the existence of a living will or durable power of attorney 
D)  Continually communicating with the patient regarding procedures 
A)  Providing a walker for a patient prior to ambulating in the hall 
B)  Allowing the patient to choose what time to have a shower 
C)  Asking the patient about the existence of a living will or durable power of attorney 
D)  Continually communicating with the patient regarding procedures A

Question 2

Which statements correctly apply to the process of developing public policy? Select all that apply.

Accepted Answer

A)  The two types of public policy are regulatory and allocative. 
B)  Since public policy supports the general population, decisions regarding policy are typically straightforward and easy to make. 
C)  Often, in order to pass a policy, deals have to be made. 
D)  Public policy may benefit some at the expense of others. 
E)  By law, political influence is separate from policy development. 
A)  The two types of public policy are regulatory and allocative. 
B)  Since public policy supports the general population, decisions regarding policy are typically straightforward and easy to make. 
C)  Often, in order to pass a policy, deals have to be made. 
D)  Public policy may benefit some at the expense of others. 
E)  By law, political influence is separate from policy development. A,C,D

Question 3

On admission, the patient states, "My son can make healthcare decisions for me if it is necessary." What does this statement imply?

Accepted Answer

A)  The patient has a living will. 
B)  The son has durable power of attorney. 
C)  This patient has violated the Patient Self-Determination Act. 
D)  The patient wishes a do-not-resuscitate status. 
A)  The patient has a living will. 
B)  The son has durable power of attorney. 
C)  This patient has violated the Patient Self-Determination Act. 
D)  The patient wishes a do-not-resuscitate status. B

Question 4

Identify strategies that will help the nurse prevent malpractice lawsuits. Select all that apply.

Accepted Answer

A)  Effective communication 
B)  Establishing security rules 
C)  Effective leadership 
D)  Caring attitude 
E)  Following the rules 
A)  Effective communication 
B)  Establishing security rules 
C)  Effective leadership 
D)  Caring attitude 
E)  Following the rules

Question 5

The nursing assistant left a side rail down upon exiting the room of a patient who had just returned from the recovery room postoperatively. What does this scenario most closely illustrate?

Accepted Answer

A)  Personal injury 
B)  Criminal intent 
C)  Malpractice 
D)  Negligence 
A)  Personal injury 
B)  Criminal intent 
C)  Malpractice 
D)  Negligence

Question 6

Healthcare delivery has experienced many changes and problems. Based on an examination of these changes and problems what would you consider a major concern today?

Accepted Answer

A)  Cost is not related to quality. 
B)  Healthcare is complex. 
C)  Quality care is improving rapidly. 
D)  A functional system is more costly. 
A)  Cost is not related to quality. 
B)  Healthcare is complex. 
C)  Quality care is improving rapidly. 
D)  A functional system is more costly.

Question 7

You are serving on a state committee to develop a state health policy. Which of the following strategies should be done early in the process?

Accepted Answer

A)  Coalition building 
B)  Select the solution 
C)  Monitor the outcomes 
D)  Implement the policy 
A)  Coalition building 
B)  Select the solution 
C)  Monitor the outcomes 
D)  Implement the policy

Question 8

Which option represents a situation exemplifying the need for nurses to become involved in healthcare policy development?

Accepted Answer

A)  The nurse omitted documentation of a surgical dressing change. 
B)  The nurse must have a nursing license and be certified as APRN to prescribe medications. 
C)  The nurse administered oral medications to the patient in the home. 
D)  The nurse discussed do-not-resuscitate decisions with the patient and the family. 
A)  The nurse omitted documentation of a surgical dressing change. 
B)  The nurse must have a nursing license and be certified as APRN to prescribe medications. 
C)  The nurse administered oral medications to the patient in the home. 
D)  The nurse discussed do-not-resuscitate decisions with the patient and the family.

Question 9

Which strategy could the nurse use to avoid disparity in healthcare delivery?

Accepted Answer

A)  Recognize the cultural issue related to patient care. 
B)  Request more health plan options. 
C)  Care for more patients even if quality suffers. 
D)  Campaign for fixed nurse-patient ratios. 
A)  Recognize the cultural issue related to patient care. 
B)  Request more health plan options. 
C)  Care for more patients even if quality suffers. 
D)  Campaign for fixed nurse-patient ratios.

Question 10

Identify typical healthcare areas in which the states have input. Select all that apply.

Accepted Answer

A)  Public health and safety 
B)  Provision of indigent care 
C)  Purchase care 
D)  Regulation 
E)  Resource allocation 
A)  Public health and safety 
B)  Provision of indigent care 
C)  Purchase care 
D)  Regulation 
E)  Resource allocation

Question 11

Which option best illustrates a positive outcome from managed care?

Accepted Answer

A)  Reshaped current policy 
B)  Consumer involvement in the healthcare political process 
C)  Increase in quality care with reduced cost 
D)  Managed care is now the method used for reimbursement. 
A)  Reshaped current policy 
B)  Consumer involvement in the healthcare political process 
C)  Increase in quality care with reduced cost 
D)  Managed care is now the method used for reimbursement.

Question 12

Which situation illustrates the ethical concept of autonomy?

Accepted Answer

A)  The patient is instructed on the technique of insulin administration. 
B)  The patient is asked to choose from which arm to have blood drawn. 
C)  The patient's information can be used for research purposes. 
D)  The patient is informed of privacy rights. 
A)  The patient is instructed on the technique of insulin administration. 
B)  The patient is asked to choose from which arm to have blood drawn. 
C)  The patient's information can be used for research purposes. 
D)  The patient is informed of privacy rights.

Question 13

Nursing: Scope and Standards of Practice (ANA, 2010) describes the model of professional nursing practice regulation. What is the base on which this model stands?

Accepted Answer

A)  Nursing practice acts and rules and regulations 
B)  Scope of practice, standards of practice, code of ethics, specialty certification 
C)  Healthcare policies and procedures 
D)  Self-determination 
A)  Nursing practice acts and rules and regulations 
B)  Scope of practice, standards of practice, code of ethics, specialty certification 
C)  Healthcare policies and procedures 
D)  Self-determination

Question 14

The nurse has been invited to join the healthcare facility's interprofessional ethics committee. What factors should the nurse consider when making a decision about this invitation? Select all that apply.

Accepted Answer

A)  The decisions made by these committees are advisory in nature. 
B)  Most of the cases discussed by these committees are related to financial considerations. 
C)  Nurses are generally active members in these committees and talk freely about ethical issues in nursing. 
D)  It might be best for the nurse to gain experience on a nursing ethics committee before joining an interprofessional committee. 
E)  The nurse can expect to be well compensated for work done on the committee. 
A)  The decisions made by these committees are advisory in nature. 
B)  Most of the cases discussed by these committees are related to financial considerations. 
C)  Nurses are generally active members in these committees and talk freely about ethical issues in nursing. 
D)  It might be best for the nurse to gain experience on a nursing ethics committee before joining an interprofessional committee. 
E)  The nurse can expect to be well compensated for work done on the committee.

Question 15

The risk manager is reviewing these events that occurred over the weekend. Which scenario should the risk manager be most concerned would represent malpractice?
0)25 mg orally.

Accepted Answer

A)  The nurse did not obtain an apical pulse on a patient prior to administering Digoxin 
B)  The nurse did not raise the bed when changing the linens for a patient who was up in the chair. 
C)  A nurse did not obtain consent before drawing blood. 
D)  The nurse continued to assess the diabetic patient's blood sugar before each meal. 
A)  The nurse did not obtain an apical pulse on a patient prior to administering Digoxin 
B)  The nurse did not raise the bed when changing the linens for a patient who was up in the chair. 
C)  A nurse did not obtain consent before drawing blood. 
D)  The nurse continued to assess the diabetic patient's blood sugar before each meal.

Question 16

The nurse is considering "blowing the whistle" on a potential Medicare fraud situation occurring in a physician's office. The nurse has worked at this office for 12 years and has many friends among the staff and patients. What incentive does this nurse have for assuming the whistleblower role?

Accepted Answer

A)  The nurse is entitled to a percentage of any money recovered. 
B)  After the nurse exposes the potential fraud, the nurse's responsibility in the case is complete. 
C)  By law, the nurse can be subject to no negative actions related to whistleblowing. 
D)  The nurse can "leak" the information to a news source first and still be protected by whistleblowing laws. 
A)  The nurse is entitled to a percentage of any money recovered. 
B)  After the nurse exposes the potential fraud, the nurse's responsibility in the case is complete. 
C)  By law, the nurse can be subject to no negative actions related to whistleblowing. 
D)  The nurse can "leak" the information to a news source first and still be protected by whistleblowing laws.

Question 17

What changes in the organization of healthcare delivery services does the Affordable Care Act of 2010 support? Select all that apply.

Accepted Answer

A)  Nurse-managed health centers 
B)  Accountable Care Organizations 
C)  Increase number of acute care hospitals 
D)  Medical homes 
E)  Focus on state run clinics 
A)  Nurse-managed health centers 
B)  Accountable Care Organizations 
C)  Increase number of acute care hospitals 
D)  Medical homes 
E)  Focus on state run clinics

Question 18

The patient is angry about the nursing care delivered on the past two shifts and demands to see his medical record. What should the nurse consider prior to granting this request?

Accepted Answer

A)  The patient always has the right to view his medical record. 
B)  In some cases, the patient does not have the right to view his medical record. 
C)  The patient does not have the right to view his medical record. 
D)  The patient must have permission from the physician prior to viewing the medical record. 
A)  The patient always has the right to view his medical record. 
B)  In some cases, the patient does not have the right to view his medical record. 
C)  The patient does not have the right to view his medical record. 
D)  The patient must have permission from the physician prior to viewing the medical record.

Question 19

Which question, asked of a patient, reflects the observance of the Patient Self-Determination Act of 1990?

Accepted Answer

A)  Have you recently changed physicians? 
B)  Why did you come to the hospital today? 
C)  Do you have a durable power of attorney? 
D)  Would you sign this release of information form? 
A)  Have you recently changed physicians? 
B)  Why did you come to the hospital today? 
C)  Do you have a durable power of attorney? 
D)  Would you sign this release of information form?

Question 20

Which scenario is an example of informed consent?

Accepted Answer

A)  The nurse omits diabetic education for a patient who has had diabetes for 10 years. 
B)  The nurse applies restraints to a patient who is trying to remove the nasogastric tube. 
C)  The patient understands the surgical procedure that will occur in the morning. 
D)  The patient asks the nurse for pain medication. 
A)  The nurse omits diabetic education for a patient who has had diabetes for 10 years. 
B)  The nurse applies restraints to a patient who is trying to remove the nasogastric tube. 
C)  The patient understands the surgical procedure that will occur in the morning. 
D)  The patient asks the nurse for pain medication.

Which nursing action best illustrates the ethical concept of beneficence?

Which statements correctly apply to the process of developing public policy? Select all that apply.

On admission, the patient states, "My son can make healthcare decisions for me if it is necessary." What does this statement imply?

Identify strategies that will help the nurse prevent malpractice lawsuits. Select all that apply.

The nursing assistant left a side rail down upon exiting the room of a patient who had just returned from the recovery room postoperatively. What does this scenario most closely illustrate?

Healthcare delivery has experienced many changes and problems. Based on an examination of these changes and problems what would you consider a major concern today?

You are serving on a state committee to develop a state health policy. Which of the following strategies should be done early in the process?

Which option represents a situation exemplifying the need for nurses to become involved in healthcare policy development?

Which strategy could the nurse use to avoid disparity in healthcare delivery?

Identify typical healthcare areas in which the states have input. Select all that apply.

Which option best illustrates a positive outcome from managed care?

Which situation illustrates the ethical concept of autonomy?

Nursing: Scope and Standards of Practice (ANA, 2010) describes the model of professional nursing practice regulation. What is the base on which this model stands?

The nurse has been invited to join the healthcare facility's interprofessional ethics committee. What factors should the nurse consider when making a decision about this invitation? Select all that apply.

The risk manager is reviewing these events that occurred over the weekend. Which scenario should the risk manager be most concerned would represent malpractice? 0)25 mg orally.

The nurse is considering "blowing the whistle" on a potential Medicare fraud situation occurring in a physician's office. The nurse has worked at this office for 12 years and has many friends among the staff and patients. What incentive does this nurse have for assuming the whistleblower role?

What changes in the organization of healthcare delivery services does the Affordable Care Act of 2010 support? Select all that apply.

The patient is angry about the nursing care delivered on the past two shifts and demands to see his medical record. What should the nurse consider prior to granting this request?

Which question, asked of a patient, reflects the observance of the Patient Self-Determination Act of 1990?

Which scenario is an example of informed consent?

Conceptual Base for Leadership and Management

Operational and Strategic Planning: Change, Innovation, and Decision Making

Organizational Structure for Effective Care Delivery

Healthcare Economics

Acute Care Organizations: an Example of a Healthcare Organization

Publiccommunity Health: Expansion and Need for Leadership

Recruitment and Retention: Meeting Staffing Requirements

Managing Patient-Centered Care

Diversity and Disparities in Health Care

Consumers and Nurses

Developing Interprofessional and Intraprofessional Teams

Improving Teamwork: Collaboration, Coordination, and Conflict Resolution

Effective Staff Communication and Working Relationships

Delegation for Effective Outcomes

Evidence-Based Practice and Management

Healthcare Quality: a Critical Health Policy Issue

Implementing Healthcare Quality Improvement

Healthcare Informatics and Technology

Staff Education to Meet Health Professions Core Competencies and Improve Care

Filters

Exam 2: Healthcare Policy, Legal Issues, and Ethics in Healthcare Delivery

Which nursing action best illustrates the ethical concept of beneficence?

Which statements correctly apply to the process of developing public policy? Select all that apply.

On admission, the patient states, "My son can make healthcare decisions for me if it is necessary." What does this statement imply?

Identify strategies that will help the nurse prevent malpractice lawsuits. Select all that apply.

The nursing assistant left a side rail down upon exiting the room of a patient who had just returned from the recovery room postoperatively. What does this scenario most closely illustrate?

Healthcare delivery has experienced many changes and problems. Based on an examination of these changes and problems what would you consider a major concern today?

You are serving on a state committee to develop a state health policy. Which of the following strategies should be done early in the process?

Which option represents a situation exemplifying the need for nurses to become involved in healthcare policy development?

Which strategy could the nurse use to avoid disparity in healthcare delivery?

Identify typical healthcare areas in which the states have input. Select all that apply.

Which option best illustrates a positive outcome from managed care?

Which situation illustrates the ethical concept of autonomy?

Nursing: Scope and Standards of Practice (ANA, 2010) describes the model of professional nursing practice regulation. What is the base on which this model stands?

The nurse has been invited to join the healthcare facility's interprofessional ethics committee. What factors should the nurse consider when making a decision about this invitation? Select all that apply.

The risk manager is reviewing these events that occurred over the weekend. Which scenario should the risk manager be most concerned would represent malpractice? 0)25 mg orally.

The nurse is considering "blowing the whistle" on a potential Medicare fraud situation occurring in a physician's office. The nurse has worked at this office for 12 years and has many friends among the staff and patients. What incentive does this nurse have for assuming the whistleblower role?

What changes in the organization of healthcare delivery services does the Affordable Care Act of 2010 support? Select all that apply.

The patient is angry about the nursing care delivered on the past two shifts and demands to see his medical record. What should the nurse consider prior to granting this request?

Which question, asked of a patient, reflects the observance of the Patient Self-Determination Act of 1990?

Which scenario is an example of informed consent?

Conceptual Base for Leadership and Management

Operational and Strategic Planning: Change, Innovation, and Decision Making

Organizational Structure for Effective Care Delivery

Healthcare Economics

Acute Care Organizations: an Example of a Healthcare Organization

Publiccommunity Health: Expansion and Need for Leadership

Recruitment and Retention: Meeting Staffing Requirements

Managing Patient-Centered Care

Diversity and Disparities in Health Care

Consumers and Nurses

Developing Interprofessional and Intraprofessional Teams

Improving Teamwork: Collaboration, Coordination, and Conflict Resolution

Effective Staff Communication and Working Relationships

Delegation for Effective Outcomes

Evidence-Based Practice and Management

Healthcare Quality: a Critical Health Policy Issue

Implementing Healthcare Quality Improvement

Healthcare Informatics and Technology

Staff Education to Meet Health Professions Core Competencies and Improve Care

Filters