NSG 5000 Quiz 3
1. A nurse practitioner (NP) knows that she is HIV positive. She is employed in a private clinic
and performs wellness exams on ambulatory adults. The NP:
a. Is obligated to inform her employer of her HIV status.
b. Is obligated to inform her patients of her HIV status.
c. Is under no obligation to inform anyone.correct
d. Is under obligation to inform the patient if she performs invasive procedures.
Rationale:mandatory disclosure was rejected in all states as it couldcause health care workers to
avoid testing all together.
Regarding patient notification, many states left that decision to the review committee tomake on
a case-by-case basis, while others required the consent of the patient before the HCW couldpar-
ticipate in an invasive procedure.
States may require retroactive notification if there is evidence of risk or exposure beyond the
mere status of the healthcare worker.
Somestates require that HIV-positive health care workers cease performing invasive procedures
until they have sought theadvice of the panel. Other states, however, made the decision to seek
the advice of the panel morevoluntary.
Reference:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538481/
, 2. Anne and Laura work as NP partners in an NP practice. Anne learns that Laura frequently
changes patient’s narcotic prescriptions to a different dosage, and then requests that the patient
give her the remaining narcotic medications. Some patients have called Anne aside to tell her of
this. How can Laura’s actions best be characterized?
a. Laura is committing theft.
b. Laura’s behavior is not illegal but is unethical.
c. Requesting the patient’s medication is within Laura’s scope of practice.
d. This appears to be diversion of medications by Laura.correct
Rationale:Drug diversion violates the core value that the needs of the patient come first. It is es-
sential that all health care institutions have a robust system in place to identify and investigate
suspected diversion as rapidly and efficiently as possible and that they implement policies and
procedures that enable a standardized and effective response to confirmed diversion.
Reference:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538481/
1. A nurse practitioner (NP) knows that she is HIV positive. She is employed in a private clinic
and performs wellness exams on ambulatory adults. The NP:
a. Is obligated to inform her employer of her HIV status.
b. Is obligated to inform her patients of her HIV status.
c. Is under no obligation to inform anyone.correct
d. Is under obligation to inform the patient if she performs invasive procedures.
Rationale:mandatory disclosure was rejected in all states as it couldcause health care workers to
avoid testing all together.
Regarding patient notification, many states left that decision to the review committee tomake on
a case-by-case basis, while others required the consent of the patient before the HCW couldpar-
ticipate in an invasive procedure.
States may require retroactive notification if there is evidence of risk or exposure beyond the
mere status of the healthcare worker.
Somestates require that HIV-positive health care workers cease performing invasive procedures
until they have sought theadvice of the panel. Other states, however, made the decision to seek
the advice of the panel morevoluntary.
Reference:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538481/
, 2. Anne and Laura work as NP partners in an NP practice. Anne learns that Laura frequently
changes patient’s narcotic prescriptions to a different dosage, and then requests that the patient
give her the remaining narcotic medications. Some patients have called Anne aside to tell her of
this. How can Laura’s actions best be characterized?
a. Laura is committing theft.
b. Laura’s behavior is not illegal but is unethical.
c. Requesting the patient’s medication is within Laura’s scope of practice.
d. This appears to be diversion of medications by Laura.correct
Rationale:Drug diversion violates the core value that the needs of the patient come first. It is es-
sential that all health care institutions have a robust system in place to identify and investigate
suspected diversion as rapidly and efficiently as possible and that they implement policies and
procedures that enable a standardized and effective response to confirmed diversion.
Reference:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538481/
