Final Exam - Comprehensive Review of Course, Exams of Nursing

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Week 5 - Final Exam

● Due Apr 12 at 11:59pm

● Points 30

● Questions 30

● Time Limit 180 Minutes

Instructions

Comprehensive Final Exam

[WLOs: 1, 2] [CLOs: 1, 2, 3, 4, 5, 6, 7]

The final exam is a comprehensive review of the entire course. The Final Exam contains 30 multiple-choice and true/false questions. You will have 3 hours to complete the exam, and it must be completed in one sitting no later than Day 6. Click on the Take the Quiz button when you are ready to start this exam. When finished, click on Submit Quiz.

Attempt History

Attempt Time Score LATEST Attempt 1 90 minutes 26 out of 30 Score for this quiz: 26 out of 30 Submitted Apr 11 at 2:37pm This attempt took 90 minutes. Question 1

1 / 1 pts

It is the policy of Zion Medical that its employees may transfer out of a unit that employs techniques or procedures that could violate a person’s religious beliefs. Of the following methods, which is MOST likely at work in this scenario? casuistry principlism distributive justice *procedural justice -Correct answer Question 2

1 / 1 pts

__________ refers to decision-making ability as applied to a specific decision and is generally determined by the attending physician *Capacity-Correct answer Intelligence Consciousness Objectivity Question 3

1 / 1 pts

What is the primary purpose of the Hastings Center?*! to study and review bioethics -Correct answer to conduct ethical medical procedures to offer palliative and hospice care to certify hospitals and clinics as ethical Question 4

1 / 1 pts

Which entity established the 1973 Patient Bill of Rights? *Correct! the American Hospital Association - Correct answer the U.S. Department of Veterans Affairs the U.S. Department of Health and Human Services the Bipartisan Patient Protection Act

Question 5

1 / 1 pts

Which of the following patient rights was already in place before new rights were outlined in the Affordable Care Act (ACA)? the right to health care coverage for Americans with preexisting conditions the right to keep children on parents’ health plans for an extended time the right to choose a preferred physician!

• the right to refuse recommended treatments - Correct answer Question 6

1 / 1 pts

Which of the following expressions would MOST closely define nonmaleficence? “Love your neighbor as yourself.” “Avoid the tyranny of principles.” “To thine own self be true.”*! “Do no harm.” -Correct answer

Question 7

1 / 1 pts

Why is the principle of autonomy not always applicable in an acute care setting?*! Because an acute care patient may be unconscious or incapable of making decisions.- Correct answer Because autonomy in an acute care setting typically costs more that the staff’s decisions. Because acute health care staff typically make more informed decisions than patients. Because autonomy in an acute care setting typically leads to more legal problems. Question 8

1 / 1 pts

In manager-staff relationships, leaders find that relying on which two forms of power produces the best work ethic and greatest satisfaction?!

• expert and referent - Correct answer expert and legitimate referent and legitimate referent and applied

Question 9

1 / 1 pts

When did the American Medical Association first establish its code of ethics, which stated that a physician’s main purpose was to “obey the calls of the sick”? 1796!

• 1847 -Correct answer 1901 1953 Question 10

0 / 1 pts

Following a severe stroke, Brian is in a persistent vegetative state. Brian’s spouse, David, has Brian’s advance directive that requests that, in such a situation, he be removed from life support. What type of end-of-life decision does this scenario describe? *non-voluntary -Correct answer voluntary medical aid in dying involuntary

The answer can be found in Chapter 4, Section 4.2, Rights to Die: Euthanasia and Medical Aid in Dying. Question 11

1 / 1 pts

Regarding the court case of Karen Ann Quinlan, her father Joseph Quinlan was seeking permission to have Karen placed in a temporary medical coma. moved to a more qualified hospital. discharged to her family’s house.*! removed from life support. -Correct answer Question 12

1 / 1 pts

What is another term for institutional ethics committee? Quinlan committee ethical dilemma care team Joint Commission!

• bioethics committee -Correct answer Question 13

0 / 1 pts

In order to be an accredited institution, Maynard Hospital must form a health care ethics committee. What does this situation typically demand? You Answered that the ethics committee be composed of licensed doctors and nurses

• that the ethics committee foster a diversity of perspectives -Correct answer that the ethics committee record any conflicts of interest that the ethics committee have separate research and clinical subcommittees The answer can be found in Chapter 3, Section 3.2, Institutional Structures That Foster and Support Moral Identity. Question 14

1 / 1 pts

With regard to respect for diverse communities, institutions should strive to provide __________ training to all personnel.

Red Cross*! cultural competence-Correct answer emergency preventative ethics Question 15

1 / 1 pts

According to the authors, the irony of practicing defensive medicine is that it can result in __________.*! greater risk of being sued - Correct answer worse health care for all patients more poorly performing practitioners higher administrative costs Question 16

1 / 1 pts

In the future, with new technologies and social media, health care privacy and confidentiality

will be easier to protect. will no longer be important.*! will be more susceptible to breaches than ever. - Correct answer will be less expensive to protect than before. Question 17

1 / 1 pts

A fine of up to $250,000 and imprisonment of up to 10 years is the penalty range for a PHI violation due to failure to notify a patient of scientific use.*! intentional disclosure for personal financial gain. - Correct answer intentional disclosure but corrected within time. willful neglect that is not corrected. Question 18

1 / 1 pts

In the 1976 case Estate of Berthiaume v. Pratt , the court ruled that a physician intruded on a dying cancer patient’s “physical or mental solitude or seclusion.” What did Dr. Pratt do to violate his patient’s privacy?

He shared medical records with a pharmaceutical representative. He questioned the dying patient needlessly. He invited a medical student to watch the patient die.*! He took unwanted photographs of the patient. -Correct answer Question 19

1 / 1 pts

Being accredited by the Joint Commission affords a health organization all of the following benefits EXCEPT a competitive edge in the marketplace. community confidence in the care it offers.!

• protection against certain kinds of liability suits. -Correct answer the ability to attract qualified doctors and nurses to its staff. Question 20

1 / 1 pts

Steve’s psychology professor is pressuring him to participate in a mental health research project. This coercion violates Steve’s __________ privacy.

informational*! decisional -Correct answer physical proprietary Question 21

1 / 1 pts

When June goes to get a chest X-ray, she expects to be left alone in a room to change into a medical gown. Her expectation to be able to “keep and control her individual space” belongs to the concept of __________. autonomy confidentiality*! privacy -Correct answer physical integrity Question 22

0 / 1 pts

HIPAA lists 18 identifiers that must be removed from a medical record to lower the risk of identifying a patient or client. Which of the following is NOT an identifier? a fax number *a state - Correct answer a discharge date a fingerprint The answer can be found in Chapter 5, Section 5.2, The Legal and Regulatory Landscape Affecting Privacy and Confidentiality. Question 23

0 / 1 pts

Hampton Health Center provides free flu shots to their community in the following order until they run out: first, to elderly citizens; second, to those with impaired autoimmune systems; and third, to local children. This rationing process is known as __________. case-by-case allocation You Answered microallocation first-come, first-served allocation

• macroallocation -Correct answer The answer can be found in Chapter 8, Section 8.1, The Moral Challenge of Resource Allocation. Question 24

1 / 1 pts

After Sarah Murnaghan won her suit against the U.S. Department of Health and Human Services, the national organization responsible for organ transplant policy denied future requests from transplant subjects younger than 12. renegotiated the age limit of eligibility for all adult organ transplants.

• renegotiated the age limit of eligibility for all adult lung transplants.-Correct answer Correct! decided to allow expert review of any cases similar to Sarah’s. Question 25

1 / 1 pts

What did assessment researcher Avedis Donabedian conclude should be the ultimate consideration when measuring a patient’s quality of care?!

*the impact on a patient’s quality of life -Correct answer how ethical the practitioners are the medical and technical advances used how much personal interaction occurred Question 26

1 / 1 pts

What does the Stark law prohibit? billing for services that were not rendered*! referring patients for reimbursable services in which the physician has a financial conflict of interest-Correct answer submitting patients to medical tests that are not necessary initiating a qui tam action based on fraud or error Question 27

1 / 1 pts

Approximately what percentage of its gross domestic product did the United States spend on health care in 2016?

2%

7%

• 17% -Correct answer 32% Question 28

1 / 1 pts

The Patient-Centered Outcomes Research Institute that has been introduced via the Affordable Care Act is financed by ________________. a percentage of employers’ health insurance contributions a percentage of employees’ health insurance premiums *fees from health insurers and health plan sponsors-Correct answer fees from health care organizations with more than 500 employees Question 29

1 / 1 pts

According to the authors, why is it ironic that the United States spends so much money on health care?

Its citizens are not particularly concerned with health issues. It spends more money on warfare that results in injuries and death. Even with federal funding for research, many diseases have yet to be eradicated.!

• Not all U.S. citizens have access to health care. - Correct answer Question 30

1 / 1 pts

William Price, a retired accountant, realizes that his geriatrician submits fraudulent Medicaid claims. What can Price do about this that would provide some reward for Price? report the crime to the local FBI office!

• bring a qui tam action against the physician-Correct answer submit a complaint to the American Medical Association bring a civil suit against the physician Quiz Score: 26 out of 30 Previous