Deck 5: Legal, Ethical, and Financial Considerations

Question 1

A certified nursing assistant (CNA) uses soft restraints to protect a resident from falling out of bed even though there was no order for their usage. On rounds several hours later, the resident is found not breathing, tangled, with the restraints around the neck. What is the responsibility of the LPN?
1) Guilty of omission
2) Guilty of negligence
3) Not at fault because of being unaware of the restraints being used
4) Not concerned because the resident has a do-not-resuscitate (DNR) order

Answer 1

2

Question 2

The nurse lives in Erie, Pennsylvania, but sees home care patients in New York, Pennsylvania, and Ohio. Which state licensure requirements should the nurse follow?
1) Ohio
2) New York
3) Pennsylvania
4) All of the states

Answer 2

4

Question 3

The director of nursing is concerned that one staff nurse is at risk for liability issues when providing resident care. What did the director observe to make this decision? Select all that apply.
1) The nurse changed a medication dosage.
2) The nurse worked 32 hours over the last 2 days.
3) The nurse documented the status of a resident's pressure ulcer.
4) The nurse did not have supplies to change a wound-vac draining system.
5) The nurse did not obtain consent before sending a resident for a surgical procedure.

Answer 3

1, 2, 4, 5

Question 4

A licensed practical nurse (LPN) finds a resident unresponsive, calls for help, and instructs the staff to call 911 and bring emergency supplies while setting up oxygen for the resident. What is this nurse guilty of doing?
1)
1) The LPN should have called 91
2) The LPN did not document the event.
3) The LPN functioned within the scope of practice.
4) The LPN should have requested a physician's order for the oxygen.

Question 5

While making afternoon rounds the charge nurse sees a resident sitting in a geriatric chair with a tray. What should the nurse do?
1) Do nothing.
2) Remove the tray.
3) Assist with ambulation.
4) Transfer to another chair.

Question 6

The nurse is reviewing the Patient Care Partnership document. Which information should the nurse expect to find in this document? Select all that apply.
1) Billing and collection policies
2) Access to health care and coverage
3) Acceptable nurse-resident staffing ratios
4) Intolerance of racial and ethnic disparities
5) Partnership with health-care decisions and delivery

Question 7

The LPN suspects that an older resident is being abused. Which action should the nurse take?
1) Review the care of other residents.
2) Document and investigate the incident.
3) Report the incident to the local, county, or state authorities.
4) Discuss suspicions at the next interdisciplinary team meeting.

Question 8

The nurse is reviewing information about liability. Which should the nurse identify as a characteristic of a prudent, responsible nurse? Select all that apply.
1) Attends seminars
2) Thinks through actions
3) Applies for re-licensure
4) Reads nursing magazines
5) Carefully considers options

Question 9

The nurse reviews information with the Affordable Care Act (ACA). Which should the nurse identify that impacts Medicare? Select all that apply.
1) Increased co-payments
2) Added deductibles for office visits
3) Included more preventive services
4) Reduced the cost of prescription drugs
5) Limited the number of skilled care days

Question 10

The nurse reviews the parts of Medicare with a resident who will be 65 years of age in a few months. Which parts should the nurse identify that are associated with a monthly premium? Select all that apply.
1) A
2) B
3) C
4) D
5) E

Question 11

The nurse is caring for a resident who has a tendency to wander. Which can be used in place of restraints for this resident? Select all that apply.
1) Alarm doors
2) Bed alarm pads
3) Room door locks
4) Wristband alarms
5) Sitters hired to stay with the resident

Question 12

An older patient experiencing severe cancer pain is restless and refuses pain medication. Which is an ethical approach to this problem?
1) Discuss with the patient feelings about the pain and the medication.
2) Call the family to ensure that the resident's choice is in the living will.
3) Withhold the medication, because all residents have the right to refuse care.
4) Give the medication, because the resident's decision may be related to delirium.

Question 13

During morning care an older male resident begins to masturbate. What should the CNA do?
1) Ignore the action and complete the bath.
2) Ask the resident to stop until the bath is over.
3) Leave the resident to complete the action in private.
4) Stand and wait for the resident to complete the action.

Question 14

A resident of a nursing facility asks about Medicaid. Which should the nurse explain in response? Select all that apply.
1) It includes acute care.
2) It includes long-term care.
3) It has a monthly premium.
4) It has substantial co-payments.
5) It is the largest payer for skilled care.

Question 15

The nurse is admitting a resident to a nursing facility. Which action should the nurse take when enforcing the Patient Self-Determination Act of 1990? Select all that apply.
1) Ask if the resident has a living will.
2) Ask if the resident has advance directives.
3) Ask if the executor of the will has been identified.
4) Ask if the resident has a durable power of attorney.
5) Ask if the resident will sign the consent to treatment form.