ANSWERS
A 17 y/o girl has received chemotherapy for two years for cancer. The cancer is
not in remission. The medical team advises that another round of chemo will give
her a 30% chance of survival. The parents say to give the treatment, but the pt
refuses. What can the HCT do? correct answer Accept the pt's decision or rule the
pt as incapable and have parent act as SDM
A 58 y/o female suffers a stroke. Her progress to improvement is slow but she is
improving. The daughters, who are joint SDM, request that all treatment be
stopped. The HCT explains to the daughters that this is premature, after many
discussions, the HCT and daughters still disagree. What should the HCT do?
correct answer Make an appeal, take to an outside body (CCB) to see what their
decision is.
A 68 y/o male had asked his oldest nephew to be is POA for personal care. The
man had discussed his wishes should he become incapable of providing care. The
nephew, based on his own religious beliefs, disagrees with what the uncle would
have wanted. What should the HCT do if the SDM does not agree with the pt's
prior capable wishes? correct answer Fully educate the SDM
A group that lobbies at the national level for advancement of the nurse's role and
economic interest, and healthcare is:
a) Canadian Nurses Association (CNA)
b) Regulated Health Professions Act (RHPA)
c) National Federation of Nurse's Unions
d) Canadian Hospital Association (CHA) correct answer a)
,A man, who has never partnered nor had any children, fell off a ladder and
became confused and unable to understand the material. The HCT tried to find a
SDM and found that the man had 2 nieces. Can they share the role of SDM?
correct answer Yes
A nurse accidentally administers an incorrect dose of morphine sulfate to a client.
Which source of law best addresses this situation?
a) Civil law
b) Criminal law
c) Common law
d) Administrative law correct answer a)
A nurse believes that it is important to let the pt make his or her own decisions.
This attitude represents support of the concept of
a) Beneficence
b) Autonomy
c) Justice
d) Utility correct answer b)
A nurse believes that the primary consideration in working w a group of pts is that
any decision must be fair to all. This attitude represents support of the concept of
a) Beneficence
b) Autonomy
c) Justice
d) Utility correct answer a)
, rational: this situation is talking about achieving good care delivery -->
beneficence
A physician asks a family NP to prescribe a medication that the NP knows is
incompatible w the current medication regimen. If the NP follows the physician's
orders, which of the following is the most likely result?
a) The NP will be liable for malpractice
b) Good Samaritan laws will protect the nurse
c) If the nurse practitioner has developed a good relationship w the pt, they will
probably not have a problem
d) The NP should get malpractice insurance correct answer a)
A pt gives a nurse a gift, what is not an appropriate response?
a) Refuse the gift in a polite manner
b) Evaluate whether refusal will harm the pt
c) Consult the manager
d) Accept the gift in secrecy correct answer d)
A registered nurse interprets a medication order scribbled by the attending
physician as 25 mg, the nurse administers 25 mg of the medication to the pt and
then discovers that the dose was incorrectly interpreted and should have been
2.5mg. Who would ultimately be responsible for this error?
a) Attending physician
b) Attending resident
c) Pharmacist
d) Nurse correct answer d)