D439 FOUNDATIONS OF NURSING
EXAM 2 QUESTIONS AND CORRECT
ANSWERS!!
Omnibus Reconciliation Act of 1986
the _______________ mandated that skilled nursing facility residents be given rights, including
but not limited to being able to vote, receiving visitors privately, receiving a 30-day notice of
discharge before moving from the facility, and being able to participate in meetings to
develop their plan of care.
(1) consumer rights and protections, (2) affordable health care coverage, (3) increased
access to care, and (4) quality of care that meets the needs of patients.
The Patient Protection and Affordable Care Act (PPACA) was passed in 2010. Its name was later
changed to the Affordable Care Act (ACA). The ACA is characterized by four themes embedded
in nursing practice: _________________
Emergency Medical Treatment and Active Labor Act
The ______________________prohibits the transfer of patients from private to public hospitals
without appropriate screening and stabilization. It is intended to prevent patient dumping. This act
ensures that patients are medically screened when they come to the emergency department or the
hospital. Staff must assess all patients who enter the hospital and cannot discharge or transfer them
until their conditions stabilize. Exceptions to this provision include if a patient requests transfer or
discharge in writing after receiving information about the benefits and risks of the transfer or if a
health care provider certifies that the benefits of transfer outweigh the risks.
Health Insurance Portability and Accountability Act
The _________________ provides rights to patients and protects employees. It includes
standards regarding accountability in the health care setting. Notably, it establishes patient rights
regarding privacy of their health care information and records. _____________ established a
patient's right to consent to the use and disclosure of protected health information (PHI), to
inspect and copy one's medical record, and to amend mistaken or incomplete information. It
limits who can access a patient's record. It establishes the basis for privacy and confidentiality
concerns, viewed as two basic rights within the U.S. health care system. Privacy is the right of
,patients to keep personal information from being disclosed. Confidentiality protects
private patient information once it is disclosed in health care settings.
Health Information Technology for Economic and Clinical Health Act
The _________________ was passed with HIPAA in response to new technology and social
media. HITECH expands the principles extended under HIPAA, especially when a security
breach of PHI occurs. Under the HITECH Act, nurses must ensure that patient PHI is not
inadvertently conveyed on social media and that protected data are not disclosed other than
as permitted by patients.
Mental Health Parity and Addiction Equity Act
The _________________ MHPAEA requires health insurance companies to provide coverage
for mental health and substance use disorder (SUD) treatment, just as they do for
medical coverage.
Patient Self-Determination Act
The _________________ requires health care institutions to provide written information to
patients concerning their rights to make decisions about their care, including the right to refuse
treatment and to formulate an advance directive. A patient's record must indicate whether a
patient has signed an advance directive and include a copy of the directive if it is available.
Patients must also be offered information about advance directives.
advance directive
An ______________ is a document developed by patients that instructs others to do tasks before,
during, and after their death. At a minimum, an advance directive includes a statement of a
patient's wishes if a respiratory or cardiac arrest occurs and a copy of the patient's durable power
of attorney for health care (DPAHC). Instructions regarding care before or during cardiac or
respiratory arrest should be signed by either a physician or a nurse practitioner. Unless otherwise
specified by state law, the document should be treated as an order; it may direct whether to
provide lifesaving measures such as cardiopulmonary resuscitation (CPR) or to provide comfort
care only.
Uniform Anatomical Gift Act
The ________________ UAGA provides the foundation for the national organ donation system.
, National Organ Transplant Act (1984)
The _____________ prohibits the purchase or sale of organs. The act provides civil and criminal
immunity to the hospital and health care provider who perform in accordance with the act. It also
protects the donor's estate from liability for injury or damage that results from the use of the gift.
United Network for Organ Sharing
The ___________________ (UNOS) has a contract with the federal government and sets
policies and guidelines for the procurement of organs. Recently _____________ UNOS changed
policy regarding transplant eligibility. The patient with the most urgent need for a transplant
will have first claim on any organ from a compatible donor within a 150-mile radius, then a
250-mile radius, and on up to a 500-mile radius
Omnibus Reconciliation Act
The ________________ (OBRA) of 1986 significantly altered the way in which health care is
provided to older adults. It focused on patient rights, quality of life, quality of care, and the
physical environment in which patients live. One change focused on the use of restraints
intended to change older-adult behavior. ________________ addressed the use of both physical
and chemical restraint use,
restraint
The legal definition of a ____________ is any manual method, physical or mechanical device, or
material or equipment that immobilizes or reduces the ability of a patient to move
freely chemical restraint
a ______________ including the use of medication (e.g. antipsychotics) to alter the behavior of a
patient
face to face within 1 hour or less of applying the restraints
You are required to continuously monitor patients who are restrained or secluded to ensure they
are safe. A physician, nurse practitioner, physician assistant, or RN who has been trained in
CMS restraint and seclusion requirements is required to assess the patient _________________.
EXAM 2 QUESTIONS AND CORRECT
ANSWERS!!
Omnibus Reconciliation Act of 1986
the _______________ mandated that skilled nursing facility residents be given rights, including
but not limited to being able to vote, receiving visitors privately, receiving a 30-day notice of
discharge before moving from the facility, and being able to participate in meetings to
develop their plan of care.
(1) consumer rights and protections, (2) affordable health care coverage, (3) increased
access to care, and (4) quality of care that meets the needs of patients.
The Patient Protection and Affordable Care Act (PPACA) was passed in 2010. Its name was later
changed to the Affordable Care Act (ACA). The ACA is characterized by four themes embedded
in nursing practice: _________________
Emergency Medical Treatment and Active Labor Act
The ______________________prohibits the transfer of patients from private to public hospitals
without appropriate screening and stabilization. It is intended to prevent patient dumping. This act
ensures that patients are medically screened when they come to the emergency department or the
hospital. Staff must assess all patients who enter the hospital and cannot discharge or transfer them
until their conditions stabilize. Exceptions to this provision include if a patient requests transfer or
discharge in writing after receiving information about the benefits and risks of the transfer or if a
health care provider certifies that the benefits of transfer outweigh the risks.
Health Insurance Portability and Accountability Act
The _________________ provides rights to patients and protects employees. It includes
standards regarding accountability in the health care setting. Notably, it establishes patient rights
regarding privacy of their health care information and records. _____________ established a
patient's right to consent to the use and disclosure of protected health information (PHI), to
inspect and copy one's medical record, and to amend mistaken or incomplete information. It
limits who can access a patient's record. It establishes the basis for privacy and confidentiality
concerns, viewed as two basic rights within the U.S. health care system. Privacy is the right of
,patients to keep personal information from being disclosed. Confidentiality protects
private patient information once it is disclosed in health care settings.
Health Information Technology for Economic and Clinical Health Act
The _________________ was passed with HIPAA in response to new technology and social
media. HITECH expands the principles extended under HIPAA, especially when a security
breach of PHI occurs. Under the HITECH Act, nurses must ensure that patient PHI is not
inadvertently conveyed on social media and that protected data are not disclosed other than
as permitted by patients.
Mental Health Parity and Addiction Equity Act
The _________________ MHPAEA requires health insurance companies to provide coverage
for mental health and substance use disorder (SUD) treatment, just as they do for
medical coverage.
Patient Self-Determination Act
The _________________ requires health care institutions to provide written information to
patients concerning their rights to make decisions about their care, including the right to refuse
treatment and to formulate an advance directive. A patient's record must indicate whether a
patient has signed an advance directive and include a copy of the directive if it is available.
Patients must also be offered information about advance directives.
advance directive
An ______________ is a document developed by patients that instructs others to do tasks before,
during, and after their death. At a minimum, an advance directive includes a statement of a
patient's wishes if a respiratory or cardiac arrest occurs and a copy of the patient's durable power
of attorney for health care (DPAHC). Instructions regarding care before or during cardiac or
respiratory arrest should be signed by either a physician or a nurse practitioner. Unless otherwise
specified by state law, the document should be treated as an order; it may direct whether to
provide lifesaving measures such as cardiopulmonary resuscitation (CPR) or to provide comfort
care only.
Uniform Anatomical Gift Act
The ________________ UAGA provides the foundation for the national organ donation system.
, National Organ Transplant Act (1984)
The _____________ prohibits the purchase or sale of organs. The act provides civil and criminal
immunity to the hospital and health care provider who perform in accordance with the act. It also
protects the donor's estate from liability for injury or damage that results from the use of the gift.
United Network for Organ Sharing
The ___________________ (UNOS) has a contract with the federal government and sets
policies and guidelines for the procurement of organs. Recently _____________ UNOS changed
policy regarding transplant eligibility. The patient with the most urgent need for a transplant
will have first claim on any organ from a compatible donor within a 150-mile radius, then a
250-mile radius, and on up to a 500-mile radius
Omnibus Reconciliation Act
The ________________ (OBRA) of 1986 significantly altered the way in which health care is
provided to older adults. It focused on patient rights, quality of life, quality of care, and the
physical environment in which patients live. One change focused on the use of restraints
intended to change older-adult behavior. ________________ addressed the use of both physical
and chemical restraint use,
restraint
The legal definition of a ____________ is any manual method, physical or mechanical device, or
material or equipment that immobilizes or reduces the ability of a patient to move
freely chemical restraint
a ______________ including the use of medication (e.g. antipsychotics) to alter the behavior of a
patient
face to face within 1 hour or less of applying the restraints
You are required to continuously monitor patients who are restrained or secluded to ensure they
are safe. A physician, nurse practitioner, physician assistant, or RN who has been trained in
CMS restraint and seclusion requirements is required to assess the patient _________________.
