Which of the following is most likely considered a competent patient?
1. Which of the following is most likely considered a competent patient? (Points : 5) A 63-year-old patient diagnosed with dementia
A 43-year-old patient diagnosed with dementia
A 36-year-old female patient abused by her spouse
A 15-year-old patient who is anemic
Question 2. 2. The general rule regarding competency states that a person is presumed to be competent unless there is a valid reason to believe otherwise. Which of the following patients might not be competent? (Points : 5)
A wheelchair patient who lives in a nursing home because of her inability to walk more than a few feet
An adult male patient with a history of clinical depression
A 55-year-old adult male patient who lives independently but has a court-appointed guardian
A 21-year-old female cancer patient
Question 3. 3. Consent is being sought for a patient to undergo chemotherapy. Which of the following would not be considered a surrogate decision maker in the event that the patient is unable to consent? (Points : 5)
The parent of a 2-year-old child receiving chemotherapy
The neighbor of an elderly adult receiving chemotherapy, if the adult patient has no family in the geographic area
The adult son of a patient
A court-appointed guardian of the patient
Question 4. 4. The patient that expresses his or her wishes in writing with regard to medical treatment offers the following: (Points : 5)
Advance directive
Living will
Either a or b
Neither a or b
Question 5. 5. Which of the following would be classified as a special circumstance with regard to consent? (Points : 5)
A patient with a rare disease requiring surgery
A patient in a mental health facility
A minor patient
A patient over the age of 65
Question 6. 6. A patient comes to a medical office and demands that she be given her medical record. Which of these statements is false in this situation? (Points : 5)
The patient is allowed to take her personal medical record.
The patient is not allowed to take her medical record because the physical record belongs to the physician or health-care facility.
The patient is the owner of the information in the record.
The patient is not the owner of the physical record.
Question 7. 7. The primary purpose of a medical record is to: (Points : 5)
Prevent liability lawsuits
Provide a format for health-care professionals to communicate with one another
Serve as a reference for previous care the patient has received
Plan for future care
Question 8. 8. Sue is a nurse providing care for patient. In which of the following situations is she not using the medical record according to the purposes of documentation? (Points : 5)
Sue uses the information in the record to write a care plan.
Sue checks the record to determine whether the patient refused her last medication.
Sue looks at the record to confirm the spelling of a drug, which another patient is also taking, so that she can document it in the second patient’s chart.
Sue documents an instance during which the patient refuses to take her medication.
Question 9. 9. Which of the following identifies a patient’s strength? (Points : 5)
The ability to walk to the restroom alone
The ability to wash her face but not her legs and arms
The ability to communicate but limited to written responses
The ability to walk but only to the restroom
Question 10. 10. All of the following are components of the medical record except: (Points : 5)
Progress notes
Plan of care
Flow sheets
All of the above
Question 11. 11. The argument over whether abortion is an option for women facing difficult pregnancies is a(n): (Points : 5)
Moral dilemma
Cultural issue
Ethical issue
Bioethical issue
Question 12. 12. Andrea knows that her employer has filed false insurance claims because he has asked her to add charges for procedures not performed on patients. If she discusses the matter confidentially with a fellow health-care provider whom she trusts and asks for advice, which approach to a bioethical dilemma is she using? (Points : 5)
Identification
Information
Communication
Choice
Question 13. 13. Andrea has been told by no fewer than three patients that they have received notice from their insurance companies. These notices stated that claims were filed from the office for service dates on which the patients are sure they did not visit the physician. Andrea is concerned and decides to investigate the patient charts. Which approach to a bioethical dilemma is she using? (Points : 5)
Identification
Information
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