NCHSE EOPA Review Legal and Ethical Responsibilities

You work at Nightingale Nursing Home as a nursing assistant. You have been assigned to care for Mr. Rodriguez, who is a newly admitted resident. Mr. Rodriguez asks you to go to the newspaper vending machine and purchase a newspaper for him. When you return with the paper, Mr. Rodriguez states, "Thank you so much. Take this dollar and buy yourself a soft drink on your break." Which of the following actions BEST describes what you should do next?

• Take the money but ask him not to tell anyone.

• Take the money just this one time.

• Thank him and politely refuse the money.

• Thank him and take the money.

You are a nursing assistant working the 7pm - 7am shift at a hospital. As you are leaving the unit for your break, you pass a patient's room and notice that another nursing assistant is changing the patient's bed. The door to the room is wide open and the patient is exposed. The other nursing assistant state, "It doesn't matter, no one is around to see him in the middle of the night." Which of the following is the BEST response?

• Agree with the nursing assistant. After all, she is right; who is going to see in the middle of the night?

• Close the door, cover the patient, and remind the nursing assistant that the patient is entitled to privacy.

• Go ahead and take your break, but report the incident to the Charge Nurse when you return.

• Walk on by quickly and try to prevent anyone else from walking past the room.

Mr. Davidson is a 72-year-old resident of the local nursing home. Mr. Davidson is of sound mind and legally capable of making his own decisions. He has been scheduled for knee replacement surgery following continued pain and osteoarthritis in his right knee. Within minutes of receiving his preoperative medications, Mr. Davidson tells the nurse that he has "changed his mind" and "does not want the surgery." Which of the following is the BEST action taken by the nurse?

• Nothing since he has already been medicated and cannot make an informed decision.

• Notify his physician stat so that she can speak with Mr. Davidson and make a decision.

• Take him back to his room and document that he has refused to have the surgery.

• Tell Mr. Davidson not to worry and that he will feel fine soon.

You are the nursing assistant assigned to deliver a lunch tray to 59 year old Mr. Edelmen; Mr. Edelmen is Jewish and his dietary needs are in his plan of care. His lunch consists of a hamburger, carrot salad, broccoli, and whole milk. Which of the following BEST describes your actions?

• Assist Mr. Edelmen in washing his hands and set up the tray.

• Call the dietary department and order a different lunch tray.

• Replace the whole milk with low fat milk from the unit refrigerator.

• Remove the milk and ask Mr. Edelmen what he would like to drink.

Mr. Garner is a 75 year old man who has developed stage II Alzheimer's disease. He can walk and use his hands, but he is very forgetful. He has difficulty communicating verbally. He often repeats himself when talking. Sometimes he appears not to understand what has been said to him. Which of the following will MOST likely promote effective communication with Mr. GArner.

• Avoid talking with him unless you need to provide physical care.

• Distract him and then provide information to him quickly before he forgets.

• Get his attention and provide information in much detail.

• Get his attention and provide information in short concise sentences.

You are the nurse assigned to care for Mrs. Galloway who has been newly diagnosed with diabetes. You have been assisting her to learn to manage her medications and diet. Which of the following statements would be BEST in promoting effective communication?

• "I believe that you have come a long way in learning how to manage your care."

• "It didn't look as if you were ever going to be able to get the injection technique right."

• "You don't appear to take any interest in managing your dietary intake."

• "You really should check your blood sugar more often or you will end up right back in the hospital."

A dentist walks into a room with a client seated in the dental chair. While looking at x-rays, the dentist states, "We are going to need to send you to an endodontist." As the dentist is walking out the door, he adds, "My receptionist will make you an appointment." What message does the dentist's body language send to the patient?

• I am busy and do not really care about you.

• I am recommending what is best for yo u.

• You need more help than I can give you.

• Your gums are in really bad condition.

HS-IHS-2.21 Mrs. Hinton is planning to donate a kidney to her sister who has renal failure. Mrs. Hinton's procedure to remove her kidney will be documented as:

• A gastrectomy

• A glossectomy

• A nephrectomy

• An angioectomy