Mark K Blue Book Questions with 100% Complete Solutions Graded A+

What is an advance directive? - t is a written document that informs healthcare personnel of your wishes if you cannot speak for yourself. Advance directives can be verbal? (True or False) - False. No, they must be written. Advance directives are legally binding? (True or False) - True. Once they are written the health care team must follow them within reason. Advance directives are only for the ill elderly? (True or False) - False. Unexpected end of life situations can occur at any age even with healthy people. All adults should have these written. What are the negative results of not having an advance directive? - Suffering, confusion, expense, and poor decision-making. What do you call a document that identifies a specific person to make health care decisions for you when you cannot? - Durable power of attorney for healthcare decisions. What is another name for the above mentioned document? - Healthcare Proxy. What do you call a person who is selected to have power of attorney? - Healthcare Agent, Healthcare Proxy, Healthcare Surrogate Should your physician be a healthcare proxy? - No, there is a conflict of interest. Does a healthcare agent have to be a family member? - No. What do you call a document that identifies medical treatments you would want and not want to keep you alive and comfortable during the dying process? - A living will. Name some treatments that living wills specify? - Whether to do CPR or not, mechanically ventilate or not, receive tube feedings or not, undergo dialysis or not, donate tissues or organs or not, receive palliative care (comfort measures) or not. Do you have to have an official living will to request do not resuscitate" status? - No, all you need is to ask your physician to write it on the chart. What does DNR mean? - Do Not Resuscitate. What does DNI mean? - Do Not Intubate. When should you request DNR/DNI? - Each time you are admitted to the facility. Do living wills need to be signed? - Yes, always. Do living wills need to be notarized? - Yes, usually. Do lawyers have to write the living will? - No, you can do it yourself. How many copies of a living will do you need? - At least three. One for you, one for the physician, one for the hospital. (Keep a wallet card that says you have one and where it can be found.) You must wait a month before you can change your living will? (True or False) - False. You can change a living will at any time. What do you call a document that directs providers to give the care you desire when you ALREADY have a serious/terminal illness? - A POLST - Physician's Orders for Life - Sustaining Treatment. Does the client have the right to be treated with respect when under anesthesia? - Yes. Does the client have the right to be treated with respect after death? - Yes. Does a patient have a right to complete and current healthcare information? - Yes. Can a physician withhold information from a patient if it could upset the patient? - No. Can a sedated person give informed consent for treatment? - No. Can a patient refuse any and all treatment? - Yes, as long as consequences have been explained. Does a patient have a right to a private room? - No, they have the right to privacy but that does not include a private room. Is a violation of patient confidentiality a violation of federal law? - Yes, HIPAA. Does a hospital have to fulfill all patient requests? - No, only if the request is reasonable. Does a patient have to be told they are part of a research protocol? - Yes. Do patients have a right to an explanation of their entire medical bill? - Yes, line by line and item by item. Does a patient have the right to say or do anything they want to say or do in the healthcare setting? - No, patients must follow all reasonable rules and policies for behavior and speech. Does a patient have a right to feel any emotion they experience? - Yes, patients can be instructed to limit their actions or their words; but they must be free to feel any emotion they experience. Click to Hide Answer Does a patient have a right to see their electronic medical record? - Yes, but the institution usually has a period of time to produce the record for patient viewing (24-72 hrs). What principle claims that people are free from control by others? - Autonomy What principle states that it is right to take positive action to help others? - Beneficence What principle says that it is right to do NO harm? - Non-maleficence What principle states that actions should be fair? - Justice What principle claims that it is right to keep promises? - Fidelity When a nurse includes a patient in the decision making process what ethical principle makes it right? - Autonomy When a nurse takes the position that children should not be immunized because there could be many unknown effects, the principle being used is ____________. - Non-maleficence When a nurse takes the position that children should be immunized because it has benefits, the principle being used is ___________. - Beneficence When a nurse tells a patient that they will be back in 30 minutes and interrupts a conversation with another nurse to go back to the patient in 30 minutes, what principle is in effect? - Fidelity What principle states that the greatest good comes from telling truth? - Veracity Does confidentiality mean you never discuss patient information with anyone? - No, it means you only discuss with others that NEED to know. What are examples of information you cannot keep confidential? - Sexually-transmitted disease, abuse, threat to kill/harm self or others. Assault (define) - A threat or an attempt to make bodily contact with another person without that person's consent. Battery (define) - An assault that is carried out.