Chapter 43 Legal Issues

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Chapter 43  Legal Issues

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. A pregnant 15-year-old girl presents to the emergency department (ED) of the local private hospital. She has been transported by her mother and appears to be in active labor. The girl is crying uncontrollably and says she is scared and experiencing painful contractions. Her mother states, “We don’t have any money or insurance, but this hospital is closer than the public hospital, and she needs help now.” What is the first step that the ED staff should take?
1)
Arrange for an ambulance to transport her to the nearest public hospital.
2)
Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill.
3)
Examine her to determine if her condition is stable or if she requires immediate medical attention.
4)
Inform her mother that she will need to transport her daughter to the nearest public hospital.

ANS: 3
When a client comes to the ED requesting examination or treatment for an emergency medical condition (including labor), the hospital must provide stabilizing treatment; the client cannot be transferred until she is stable.

PTS: 1 DIF: Moderate REF: p. 1550
KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Application

 

____ 2. For the patient with no healthcare coverage who is seeking medical care, the emergency department staff members decide whether to provide care or transport to a public facility based on which law, enacted by Congress in 1986 and updated in 2003?
1)
Health Care Quality Improvement Act (HCQIA)
2)
Patient Self-Determination Act (PSDA)
3)
Newborns’ and Mothers’ Health Protection Act (NMHPA)
4)
Emergency Medical Treatment and Active Labor Act (EMTALA)

ANS: 4
The intent of the Emergency Medical Treatment and Active Labor Act (EMTALA) is to ensure public access to emergency services regardless of ability to pay. The EMTALA prohibits “patient dumping,” which is transferring indigent or uninsured patients from a private hospital to a public hospital without appropriate screening and stabilization. An exception is made if a hospital does not have the capability to stabilize a patient or if the patient requests a transfer.

PTS: 1 DIF: Difficult REF: p. 1550
KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Comprehension

 

____ 3. A patient tells you that chart entries made by the nurse from the previous day indicate he was uncooperative when asked to ambulate. He says this is not true and asks his record be corrected. You understand that, if what he says is accurate, he has the right to have the documentation error corrected based on which of the following regulations?
1)
Americans with Disabilities Act (ADA)
2)
Patient Self-Determination Act (PSDA)
3)
Health Insurance Portability and Accountability Act (HIPAA)
4)
Health Care Quality Improvement Act (HCQIA)

ANS: 3
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule of 2004 provides comprehensive protection for the privacy of protected health information (confidentiality of patient records). In addition, patients have the right to see and copy their medical records and to reconcile incorrect information.

PTS: 1 DIF: Moderate REF: p. 1550
KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Comprehension

 

____ 4. Upon initial assessment of a 75-year-old patient, you identify bruises and scratches on the patient’s arms, legs, and trunk in various stages of healing. You notify your supervisor when you suspect the patient may be a victim of physical abuse. You are complying with which of the following state laws?
1)
Good Samaritan Law
2)
Mandatory Reporting Law
3)
Nurse Practice Act
4)
Nursing Standards of Practice

ANS: 2
Under state mandatory reporting laws, nurses must report to designated authorities (e.g., Adult Protective Services) suspected physical, sexual, emotional, or verbal abuse or neglect by healthcare workers or family members. In general, nurses who fail to report suspected abuse or neglect may be held criminally or civilly liable.

PTS: 1 DIF: Moderate REF: p. 1552
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application

 

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