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1. 1. In August of 2022, a new federal law gave Medicare and Medicaid the
authority to negotiate the cost of medications. Although this can impact all
4 of the Quadruple Aims of Health Care, which one the Quadruple Aims of
Health Care does this authority most directly address: Low cost
2. 2. Which of the following is a true statement about malpractice in the nursing
practice: In Ohio, as in many states, if an employer of nurses is sued in a malpractice
civil suit the nurses who allegedly committed the malpractice must be named.
3. 3. A women's clinic agreed to accept Medicaid payments. Two administrative
rules issued by the Centers for Medicare and Medicaid (CMS) state that women
under Medicaid are entitled to a full year of post-partum (after childbirth)
services and that Medicaid payments must be accepted as payment in full. The
clinic bills Medicaid for prenatal and delivery services but bills women directly
for post-partum visits. Is this legal: No, because an approved administrative rule
has the force of law
4. 4. A nurse asserts the right not to be immunized against measles, but the
nurse's employer issues a policy requiring immunization with only a religious
or health related exemptions. What values are in conflict: The nurse's autonomy
and the health employer's commitment to social justice.
5. 5. A nurse who is providing diabetes screening at a community clinic
discovers that a new client has type 2 diabetes mellitus. The client indicates
that he worries about having enough food by the end of the month, so he eats
many meals at community agencies. He takes a taxicab to get to the clinic and
he is employed at a minimum wage job that does not provide full time hours or
benefits. Which of the following nursing actions would be a priority: Provide the
client with the number of a local voluntary agency that provides van transportation
to the clinic free of charge.
6. 6. The mandate that every American must be covered by health insurance
or pay a penalty was a requirement in the Affordable Care Act of 2010. The
legal challenge to this clause was heard by the United States Supreme Court
based on which of the following arguments: It was not mandated in accordance
with the US constitution
7. 7. A home health nurses teaches client how to change the dressing on
his wound. The client does a correct return demonstration of the dressing
change to the nurse. Several weeks later the client comes into ER with an
infected wound and the client contacts his lawyer about suing the nurse for
malpractice. Which of the following criteria of nursing malpractice was not
met: Breach of duty
8. 8. After a measles outbreak during which over 20 children died the gover-
nor issues an executive order mandating that all state employees must be
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immunized against measles, no exceptions. What is the legal course of action
as a registered nurses employed in the prison system who is not immunized
against the measles: Get immunized it's the law.
9. 9. The registered nurse working in the community consistently works to
honor the autonomy of a client with a slowly healing leg wound. Which of the
following is a nursing action that honors the patient's and family's autonomy-
: The home health nurse teaches the patient and the patient's family to prepare a
diet that promotes wound healing.
10. 10. A nurse is unsure of how to perform a dressing change on seeping leg
wound. Which of the following is the best way to decide how to proceed: Re-
search the question of best practice in the literature.
11. 11. A nurse serves on the Policy and Procedure Committee for a hospital.
The nurse wants to make sure that the hospital's policies regarding nursing
practice drive high quality client care. What is one important strategy the nurse
could implement to assure high quality care is outlined in nursing policies
and procedures: Base each policy on research and cite the source of the research
reports in a reference list on the policy
12. 12. What is the best way for a nurse to learn about the best ways to teach
diabetic diets to clients with Type II diabetes: Complete a search of the scholarly
nursing literature
13. 13. A terminally ill client has a living will indicating that he does not wish
to be resuscitated if he stops breathing or his heart stops. The client's son
arrives from out-of-state and states the does not care what his father said, or
the physician wrote, he expects the nurse to CPR if his father arrests. What
should the nurse do: Immediately report the ethical dilemma to the supervisor
14. 14. The Ohio Board of Nursing disciplined a nurse for accepting a "tip" of
$300 from the family of a client. How is the Ohio Board of Nursing providing
an example of nursing as a profession, according to Pavalko's (2018) eight
dimensions of a profession: Members control their own profession
15. 15. A hotly debated issue in nursing currently is whether or not all new
advanced practice nurses (nurse practitioners, nurse midwives, nurse anes-
thetists, clinical nurse specialists) should receive their education at the doc-
toral level. This recommendation addresses which of the following recommen-
dations of the Future of Nursing (2010) report: Double the number of nurses with
a doctorate degree
16. 16. Lourdes University believes that nursing education is well aligned
with the Franciscan values of community, reverence, learning, and service.
Provision 1 of the ANA code of Ethics for Nurses (2015 states) The nurse
practices with compassion and respect for the inherent dignity, worth, and
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