1. the differences between an Advance Health Care Directive and the POLST,

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Question Answered step-by-step 1. the differences between an Advance Health Care Directive and the POLST,2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want. Health Science Science Nursing NUR NURS521 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step SUBJECT: Medical Technology Laws and Bioethics  3. You work in a high-volume clinic that does allergy testing. On day, the electronic medical record system has an internet outrage and as a result your patients wait time increases. One patient comes back to the room after waiting 2.5 hours. He is frustrated and lashes out at your staff for the inappropriate wait time. Which of the following is the best initial response? a. "I am sorry for the wait. Please know I will spend the full amount of normal patient time with you."  b. "I am so sorry for the wait. Our electronic medical record system had an internet outrage and we were very backed up."  c. "I am sorry for the wait. Please do not yell ay my staff as they had nothing to do with the reason for your wait." d. "I am so sorry for the wait. You are entitles to be angry about this terrible circumstance."  e. "I am sorry for the wait. While you are entitled to be angry, please do not yell at my staff as it comprises the provider-patient relationship."   4. A 7 year old boy unfortunately loses his older sister to Glioblastoma Multiforme. He is diagnosed with adjustment disorder and feels responsible for the death of his sibling. Which of the following is the best way to describe the events of his sisters passing?  a. "She had a problem in her brain that caused her death."  b. "She had something called Glioblastoma Multiforme which is cancer that spreads in the brain." c. "It was her time to go to heaven." d. "She was very sick for a long time and now isn't suffering any more." e. "It is not your fault, these things happen in life."  5. A 76 years old male is diagnosed with stage IV adenocarcinoma of the lung. He confides in you privately that he does not want his family to know the details of his diagnosis, and wants to "die in dignity without burdening ny family." As you exit the room, his family sees you and wants to know what the results of the patient's biopsy showed. Which of the following is the correct response?  a. You should discuss the results with your family member.  b. I am not permitted to disclose the results to you without express written permission from the patient. c. I am not permitted to disclose the results to you without express verbal permission from the patient. d. I am not permitted to disclose the results to you without express written or verbal permission from the patient. e. I am not allowed to say whether or not I am your loved ones physician.  6. The patient provides verbal permission for his information to be sent to his primary care physician. The hospital where you reside has a policy where the patient must first sign a "release of information" in order to release his confidential information. In this case, which of the following is true regarding the release of the patient's confidential protected health information? a. Patients must always sign a "release of information" otherwise the information cannot be released. b. Express verbal permission is sufficient to release protected health information. c. Hospital may impose additional requirements for the release of protected health information. d. In states where "release of information" is required, both verbal and written permission must be obtained. e. Written permission is not required since the primary care physician already knows this patient.  7. A 29-year-old female with severe autoimmune disease has been treated with multiple infusions of immunotherapy to control the severity of her illness for many years. She has missed many appointments and shows up late, consistently. She never stays for the duration of her treatment. Today, she tells you that she does not want to get her infusion because she has dyspepsia. Recognizing that the patient will likely not adhere to her treatment, which of the following is the best immediate course of action?  a. Kindly refer the patient to a colleague with whom she has better rapport, explaining that she might prefer their care better. b. Very respectfully discuss the risks, benefits, and alternatives to treatment. c. Kindly educate the patient about the dangerousness of missed treatments, but explain that ultimately it is her decision. d. Kindly tell the patient that your relationship is an obvious barrier to treatment, and provide her with alternative physicians that she can find after 30 days. e. Attempt to understand why she doesn't adhere to treatment.  8. You are out spending the day at a local park when a patient that you care for at the clinic approaches you. She explains that she has always been sexually attracted to you and would like to go on a date. You kindly refuse her advances. When seeing this patient in the clinic, which of the following is the best initial action? a. Use a chaperone in all situations. b. Explain to the patient that you will refer her to colleague in the clinic. c. Explain that her advances are appreciated but inappropriate. d. Kindly explain that if she does not stop, you will not be able to care for her any more. e. Attempt to understand why she finds you attractive.   9. A patient is diagnosed with HIV. Which of the following is true? a. The patient must give permission to report this to public health officials. b. The information can be released to public health officials only if the patient refuses treatment. c. The information can be released to public health officials only if the patient was diagnosed within the past 3 months. d. The physician and/or hospital has a legal obligation to report this to public health officials in all scenarios. e. The information is not reportable based on law.  10. A patient has low back pain for 2 days. He takes Ibuprofen but the pain is not relieved. He has a friend who convinced the patient that his pain is likely secondary to a herniated disc in his low back, and the patient requests an epidural steroid injections. Which of the following is the best course of actions? a. Do not give an epidural steroid injection. b. Explain that the patient's friend is wrong and that epidural steroid injections constitute an unnecessary procedure. c. Explain that while it's possible the pain is caused by a herniation, it's more important to follow your conservative treatment first before resorting to invasive procedures. d. Give the epidural steroid injection. e. Give the epidural steroid injection only after explaining the risks, benefits, and alternatives to treatment. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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