A patient who has developed a pulmonary embolism after abdominal surgery is
immediately transferred to another hospital. Which law has been broken in this case?
1. Mental Health Parity Act
2. Americans With Disabilities Act
3. Patient Self-Determination Act
4. Emergency Medical Treatment and Active Labor Act
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, Ans: 4. Emergency Medical Treatment and Active Labor Act
According to the Emergency Medical Treatment and Active Labor Act,
patients who have an emergency condition should not be discharged or
referred to another hospital unless the condition stabilizes. Pulmonary
embolism is a life-threatening condition, and according to this law the
patient should not be transferred to another hospital unless the condition is
stabilized. According to the Mental Health Parity Act, health insurance
companies should not place lifetime or annual limits on mental health
coverage, and the coverage should be as generous as coverage for
medical or surgical care. The Americans with Disability Act prevents
discrimination against persons with disabilities and ensures equal
opportunities in employment, state and local government services, public
accommodations, commercial facilities, and transportation. According to
the Patient Self-Determination Act, health care institutions should provide
written information to patients about their rights to make decisions
regarding treatment.
Which type of post-operative complication causes a patient to complain of a vein that
is hard, cordlike, and sensitive to touch?
1. Thrombus
2. Hemorrhage
3. Thrombophlebitis
4. Hypovolemic shock
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Ans: 3. Thrombophlebitis
Inflammation of vein often accompanied by clot formation. Veins in legs are
most commonly affected. Signs and symptoms include swelling and
inflammation of involved site and aching or cramping pain.
, The nurse stops to help in an emergency at the scene of an accident. The injured
party files a suit, and the insurance of the nurse's employing institution does not cover
the nurse. Which would probably cover the nurse in this situation?
1. The nurse's automobile insurance
2. The nurse's homeowners insurance
3. The Good Samaritan laws, which grant immunity from suit if there is no gross
negligence
4. The Patient Care Partnership, which may grant immunity from the suit if the injured
party consents
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Ans: 3. The Good Samaritan laws, which grant immunity from suit if there is
no gross negligence
The Good Samaritan law holds the health care provider immune from
liability as long as he or she functions within the scope of his or her
expertise.
The nurse received a hand-off report at the change of shift in the conference room
from the night shift nurse. The nursing student assigned to the nurse asks to review the
medical records of the patients assigned to them. The nurse begins assessing the
assigned patients and lists the nursing care information for each patient on each
individual patient's message board in the patient rooms. The nurse also lists the
patient's medical diagnoses on the message board. Later in the day, the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which of
these actions describes a violation of the Health Insurance Portability and
Accountability Act (HIPPA)?
1. Discussing the patient conditions in the nursing report room at the change of shift
2. Allowing nursing students to review patient charts before caring for patients to
whom they are assigned
3. Posting medical information about the patient on a message board in the patient's
room