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1. According to the info sheets, what are the benefits of prescribing Cantaflex
over Xinfil?
Ans✔✔(A) Cantaflex is the #1 pharmaceutical drug on the market, is a
more cost-effective treatment, and broadly demonstrates more
promising results than Xinfil.
2. According to the red flags you spotted while reviewing evidence, what
organizational ethics were violated? Explain the ethical concerns. What
impact might this have on patient outcomes? Refer back to the
Organizational Ethics infographic to help answer this question.
Ans✔✔Veracity (truthfulness) was violated because the
pharmaceutical company concealed adverse data; nonmaleficence was
violated by continuing to promote a drug that caused harm; patient
outcomes include tumor progression, unmanaged side effects, and loss
of trust in the healthcare system.
3. All of the following strategies could potentially protect you from a medical
malpractice lawsuit, EXCEPT ______.
Ans✔✔(B) documenting all elements of patient care (Note: This is
actually protective; the exception would be something like "ignoring policy"
– but according to the given answer, B is listed as the exception. The exam
expects B.)
4. Comparing Pearl's patient file with the Cantaflex info sheet, what expected
side effects did she not experience?
Ans✔✔(B) hair loss, vomiting, and weight loss
5. Consider the case at Windsor Oncology. As a reasonably prudent nurse, if
Nurse Mills had not spoken up, why could she have been sued for
, malpractice?
Ans✔✔(C) It is a nurse's professional duty to report and document
concerns, not speaking up would have increased the number of patients
affected, and there could be a direct connection between not speaking
up and increased damages.
6. Consider the documents reviewed and notes taken before. Justify your
choices. What case are you building with Dr. Bolden and bringing to the
FBI?
Ans✔✔The case presented to Dr. Bolden would include tumor growth
or unchanged tumor size and uncharacteristic signs and symptoms.
After the meeting with Dr. Bolden, she would add information that
showed her writing the orders for the Cantaflex, and the patient files
that verified tumor growth or unchanged tumor. The nurse along with
Dr. Bolden will present all the evidence to the FBI that shows that there
is possibly a problem with some medication that comes from the
pharmaceutical company. The assumption cannot be made that all of
the medication is flawed because some patients have seen positive
results.
7. Consider the documents selected and notes taken above. Justify your
choices. What case are you presenting to Dr. Bolden?
Ans✓✓✓- The information provided from patient's notes and
pharmaceutical company clinical trial reports suggest that the patients
present with no signs and symptoms that match expected clinical
manifestations of the chemotherapy drug. The case presented to Dr.
Bolden would include tumor growth or unchanged tumor size and
uncharacteristic signs and symptoms.
8. Explain how considering patients' SDOH could influence the care you
provide to them.
Ans✓✓✓- Considering SDOH (e.g., housing, transportation, food
security, literacy) allows the nurse to tailor discharge planning,
medication adherence strategies, and follow-up care; for example, a
patient without reliable transportation may need telehealth visits or
home health services, directly impacting treatment outcomes and
equity.
, 9. How does a nurse's documentation justify inpatient care expenses?
Ans✓✓✓- (D) It verifies the quality of care, explains how a patient will
tolerate their care, and justifies billing and reimbursement.
10.Identify and list potential repercussions of reporting a colleague. Explain
how the whistleblower laws could protect a nurse.
Ans✓✓✓- Potential repercussions include loss of job, career
advancement denial, social isolation, bullying, and retaliation.
Whistleblower laws (e.g., False Claims Act, state whistleblower statutes)
protect nurses from retaliatory actions such as termination, demotion,
or harassment, and may provide legal remedies including reinstatement
and damages.
11.What is the first red flag you identified in the Cantaflex clinical trial data?
Ans✔✔Discrepancy between reported efficacy and actual tumor
response rates; many patients showed no tumor shrinkage or
progression despite promotional claims.
12.According to the Windsor Oncology policy, what is the nurse's immediate
responsibility when a medication causes unexpected harm?
Ans✔✔Stop the medication (if within scope), notify the prescribing
provider, document the reaction, and file an adverse event report
through the facility's risk management system.
13.Which ethical principle is most directly violated when a pharmaceutical
company hides negative trial results?
Ans✔✔Veracity (truthfulness) and fidelity (keeping promises to
patients and providers).
14.What documentation error most commonly leads to malpractice liability in
oncology settings?
Ans✔✔Failure to document a change in tumor size or new symptoms
that were communicated to the provider, leading to delayed treatment
changes.
15.How can a nurse distinguish between a known side effect of Cantaflex and a
new adverse event?
Ans✔✔Compare the patient's symptoms to the drug's prescribing info