CEN Professional Issues Study Questions and Answers

CEN Professional Issues Study Questions and Answers The ENA Code of Ethics expects the emergency nurse to do all of the following EXCEPT: a. Maintain accountability for individual practice b. Act to protect the patient from incompetent or illegal practice c. Work to improve access to health care for all d. Complete all required tasks for every patient ✅D. An integral part of being an effective ED nurse is knowing what tasks can or should be delegated to other roles. The ED nurse should not expect to perform all tasks for every patient but should know what tasks can be delegated. Emergency nurses are encouraged to use evidence based practices (EBP) in the practice of emergency nursing. Which of the following practices is not recommended by the Emergency Nurse's Association? a. Use of two or more patient identifiers when providing care. b. Not taking verbal or telephone orders. c. Comply with hand hygiene guidelines d. Assure central lines are inserted under sterile conditions. ✅B. Although verbal and telephone orders are not ideal, the practice of emergency nursing often requires taking verbal orders. In those cases, the nurse must employ the practice of reading back the order to ensure that it was received and recorded accuratel y. An emergency nurse provides education to a community group about bike and helmet safety. At this educational offering, the nurse provides helmets for children who do not have them. This is an example of a nurse providing: a. Primary prevention b. Secondary prevention c. Tertiary prevention d. None of the above ✅A. Primary prevention averts disease or injury by reducing risk factors for a particular individual or group. Secondary prevention aims to detect injury or disease early to limit the effects. Tertiary preventions focus on treating a disease or injury to li mit disability and preserve function. The term used to describe pain that is due to a stimulus that does not normally provoke pain is: a. Allodynia b. Analgesia c. Hyperalgesia d. Neuralgia ✅A. Allodynia is the perception of pain with a stimulus that does not normally cause pain. Analgesia is the absence of pain in response to a stimulus that would normally be considered painful. Hyperalgesia is an increased, or greater than expected, response to a stimulus that is painful. Neuralgia is pain in a nerve or nerves. Since care in the emergency department is episodic, interpreters are not required during patient care. a. True b. False ✅B. If the ED nurse is not able to adequately communicate with a patient, an interpreter must be provided. Specifically, an interpreter is critical when the patient's history is being elicited, when the physician or nurse is explaining the patient's conditi on or treatment or when spiritual or religious counseling is requested. In addition to each of these circumstances, an interpreter must be provided to obtain informed consent or permission for treatment. The ED nurse must also provide an interpreter when l iving wills or powers of attorney are discussed. Any discussion of medications or allergies requires an interpreter. Discussions of billing, insurance or education should be explained through an interpreter. When in doubt, the prudent nurse will call for a n interpreter. It is strongly recommended not to use family to interpret. A patient can directly sue an emergency department nurse for violation of the HIPAA law. a. True b. False ✅B. HIPAA does not create a private right of action; therefore, a patient cannot directly sue any provider for HIPAA violations. However, a patient may make formal complaints to the OCR who may refer those complaints to the Department of Justice for crimina l investigation. A child may be considered an emancipated minor and capable of making medical decisions without parental consent in certain circumstances. Although laws in states may differ, general considerations may include all of the following EXCEPT: a. Marital status b. Membership in the armed forces c. Self -declaration of emancipation by the minor d. Court certification ✅C. If a child desires to be an emancipated minor without fulfilling the criteria in any other way, a court must declare the emancipation. A child cannot declare himself or herself to be emancipated. The prudent ED nurse will understand the laws in his or h er state that govern the rules around emancipation of a minor. Informed consent implies that the patient with intact mental capacity understands the risks and benefits of the proposed treatment and any alternatives to treatment. The ED nurse must delay treatment for an informed consent when: a. A known diabetic collapses in the waiting room. b. Emergent treatment is required to protect the patient's health. c. An unaccompanied 14 -year-old child walks into the Emergency department with a snake bite. d. The surgeon who will be doing the appendectomy on a stable patient is delayed in the OR. ✅D. Although medical personnel must attempt to get informed consent from the patient or someone authorized to consent for him, emergency department nurses