PRE-ASSESSMENT: 2021/2022 HEALTHCARE
VALUES AND ETHICS PKEC C426 WGU
In a hospital setting, a caregiver must inform a patient there is no cure for the patient's disease. To avoid
possibly causing serious psychological harm by telling the patient, "There is nothing else I can do for
you," the caregiver tells the patient, "Although there is currently no cure for your disease, I will treat
your symptoms and make you more comfortable. I will also keep you informed as to any significant
research regarding development of a cure for your disease."
Which ethical principle is being used in resolving this dilemma?
Justice
Veracity
Autonomy
Nonmaleficence Correct Answer: Nonmaleficence
A patient with tuberculosis was admitted to the hospital and is refusing treatment. When the patient's
nurse leaves the room, the patient leaves the hospital.
Which ethical duty should the nurse perform?
Treat
Warn
Maintain privacy
Maintain confidentiality Correct Answer: Warn
A 23-year-old Christian scientist has been hit by a car and taken to the emergency room (ER). The
patient presents to the ER and complains of pain. The patient's leg appears to be broken, so the ER staff
prepares to take the patient's X-rays. When the staff arrives, the patient becomes angry, refuses the X-
rays, and leaves the emergency room.
Which ethical factor influences this patient's refusal of treatment?
Justice
Religion
Beneficence
Nonmaleficence Correct Answer: Religion
A 55-year-old patient has a rare autoimmune disorder with no cure. However, there are non-approved
hospital-based treatments shown to be somewhat effective in controlling the symptoms and possibly
prolonging life. The patient does not have the financial means to afford these uncovered treatments.
What is a financial recourse for this patient?
Finding available state funding
,Getting approval from Medicare
Changing hospital insurance coverage
Asking the hospital for a payment plan Correct Answer: Getting approval from Medicare
An 86-year-old patient is suffering from a tumor and only has Medicare for insurance. The tumor will
eventually grow to occlude the airway, so surgery is required even though the patient's medical history
makes this a high-risk procedure. The patient must decide whether to proceed with the surgery.
Which cost must this patient consider?
Hospice care
Probate court
Hospitalization
Affordable healthcare plan Correct Answer: Hospitalization
A hospital patient is placed on a ventilator after having a heart attack. The hospital staff believes the
patient will never regain consciousness and will die in two to six months. The family is divided on
whether or not to remove the patient from life support.
What is the role of the healthcare ethics committee in advising on this case?
To promote the doctor's clinical recommendations
To promote shared decision making among stakeholders
To determine priorities based on cost and resource allocation
To determine whether state law or religious belief takes preference Correct Answer: To promote shared
decision making among stakeholders
An 85-year-old patient is rushed to the hospital and diagnosed with a stroke. The physician advises the
family that artificial nutrition and hydration will be required to keep the patient alive. The patient's
family requests a consult with the hospital's ethics committee before proceeding with a decision.
Which external issue would affect the ethics committee's advice to the family?
The degree to which the patient is informed of risks
The advance directive in place for the patient
The various healthcare regulations that would apply
The medical staff's comfort with taking timely action Correct Answer: The various healthcare
regulations that would apply
A vendor offers the logistics department manager at a community hospital an all-expenses-paid trip for
four to a ski lodge. The manager went on the trip.
Why did a potential conflict of interest occur?
, The manager had the opportunity to network during the trip.
The manager used the relationship for personal financial gain.
The manager was absent so department productivity would decline.
The manager was rewarded for work completed by other staff. Correct Answer: The manager used the
relationship for personal financial gain.
The National Association for Healthcare Quality (NAHQ) covers many principles that pertain to the
ethical operation of an organization.
Which standard addresses this concept?
Supporting access to medical information by health providers
Providing updated, relevant training to organizational leadership
Establishing quality as the guiding principle for controlling costs
Emphasizing programs that provide better patient reimbursement Correct Answer: Providing updated,
relevant training to organizational leadership
Security staff were called to restrain a psychiatric patient in a hospital's behavioral medicine unit. The
security staff were not accustomed to responding to the unit, leading to trauma that nearly made the
patient die.
Which Joint Commission policy will assist the hospital in this situation? Correct Answer: Sentinel event
policy
A patient who is religious has an appointment with an ear, nose, and throat doctor to have his ears
cleaned of wax buildup. When the patient arrives at the doctor's office, the nurse says his appointment
is for another procedure the doctor determined to be necessary. After the appointment, the patient
requested the doctor change the reason for the visit to increase reimbursement.
Which aspect of a code of ethics did this physician violate?
The patient will be provided with care of the highest quality.
The patient's culture, religion, and heritage will be honored.
The patient will be treated with honesty, dignity, and respect.
The patient's right to execute advance directives will be followed. Correct Answer: The patient will be
treated with honesty, dignity, and respect.
Many provisions of the Patient Protection and Affordable Care Act (PPACA) were enacted to assist
citizens in obtaining access to healthcare insurance and coverage.
How does this act impact healthcare?
Insurance companies must limit their premium charges to 85% of what they were charging prior to the
implementation of the act on March 23, 2010.
VALUES AND ETHICS PKEC C426 WGU
In a hospital setting, a caregiver must inform a patient there is no cure for the patient's disease. To avoid
possibly causing serious psychological harm by telling the patient, "There is nothing else I can do for
you," the caregiver tells the patient, "Although there is currently no cure for your disease, I will treat
your symptoms and make you more comfortable. I will also keep you informed as to any significant
research regarding development of a cure for your disease."
Which ethical principle is being used in resolving this dilemma?
Justice
Veracity
Autonomy
Nonmaleficence Correct Answer: Nonmaleficence
A patient with tuberculosis was admitted to the hospital and is refusing treatment. When the patient's
nurse leaves the room, the patient leaves the hospital.
Which ethical duty should the nurse perform?
Treat
Warn
Maintain privacy
Maintain confidentiality Correct Answer: Warn
A 23-year-old Christian scientist has been hit by a car and taken to the emergency room (ER). The
patient presents to the ER and complains of pain. The patient's leg appears to be broken, so the ER staff
prepares to take the patient's X-rays. When the staff arrives, the patient becomes angry, refuses the X-
rays, and leaves the emergency room.
Which ethical factor influences this patient's refusal of treatment?
Justice
Religion
Beneficence
Nonmaleficence Correct Answer: Religion
A 55-year-old patient has a rare autoimmune disorder with no cure. However, there are non-approved
hospital-based treatments shown to be somewhat effective in controlling the symptoms and possibly
prolonging life. The patient does not have the financial means to afford these uncovered treatments.
What is a financial recourse for this patient?
Finding available state funding
,Getting approval from Medicare
Changing hospital insurance coverage
Asking the hospital for a payment plan Correct Answer: Getting approval from Medicare
An 86-year-old patient is suffering from a tumor and only has Medicare for insurance. The tumor will
eventually grow to occlude the airway, so surgery is required even though the patient's medical history
makes this a high-risk procedure. The patient must decide whether to proceed with the surgery.
Which cost must this patient consider?
Hospice care
Probate court
Hospitalization
Affordable healthcare plan Correct Answer: Hospitalization
A hospital patient is placed on a ventilator after having a heart attack. The hospital staff believes the
patient will never regain consciousness and will die in two to six months. The family is divided on
whether or not to remove the patient from life support.
What is the role of the healthcare ethics committee in advising on this case?
To promote the doctor's clinical recommendations
To promote shared decision making among stakeholders
To determine priorities based on cost and resource allocation
To determine whether state law or religious belief takes preference Correct Answer: To promote shared
decision making among stakeholders
An 85-year-old patient is rushed to the hospital and diagnosed with a stroke. The physician advises the
family that artificial nutrition and hydration will be required to keep the patient alive. The patient's
family requests a consult with the hospital's ethics committee before proceeding with a decision.
Which external issue would affect the ethics committee's advice to the family?
The degree to which the patient is informed of risks
The advance directive in place for the patient
The various healthcare regulations that would apply
The medical staff's comfort with taking timely action Correct Answer: The various healthcare
regulations that would apply
A vendor offers the logistics department manager at a community hospital an all-expenses-paid trip for
four to a ski lodge. The manager went on the trip.
Why did a potential conflict of interest occur?
, The manager had the opportunity to network during the trip.
The manager used the relationship for personal financial gain.
The manager was absent so department productivity would decline.
The manager was rewarded for work completed by other staff. Correct Answer: The manager used the
relationship for personal financial gain.
The National Association for Healthcare Quality (NAHQ) covers many principles that pertain to the
ethical operation of an organization.
Which standard addresses this concept?
Supporting access to medical information by health providers
Providing updated, relevant training to organizational leadership
Establishing quality as the guiding principle for controlling costs
Emphasizing programs that provide better patient reimbursement Correct Answer: Providing updated,
relevant training to organizational leadership
Security staff were called to restrain a psychiatric patient in a hospital's behavioral medicine unit. The
security staff were not accustomed to responding to the unit, leading to trauma that nearly made the
patient die.
Which Joint Commission policy will assist the hospital in this situation? Correct Answer: Sentinel event
policy
A patient who is religious has an appointment with an ear, nose, and throat doctor to have his ears
cleaned of wax buildup. When the patient arrives at the doctor's office, the nurse says his appointment
is for another procedure the doctor determined to be necessary. After the appointment, the patient
requested the doctor change the reason for the visit to increase reimbursement.
Which aspect of a code of ethics did this physician violate?
The patient will be provided with care of the highest quality.
The patient's culture, religion, and heritage will be honored.
The patient will be treated with honesty, dignity, and respect.
The patient's right to execute advance directives will be followed. Correct Answer: The patient will be
treated with honesty, dignity, and respect.
Many provisions of the Patient Protection and Affordable Care Act (PPACA) were enacted to assist
citizens in obtaining access to healthcare insurance and coverage.
How does this act impact healthcare?
Insurance companies must limit their premium charges to 85% of what they were charging prior to the
implementation of the act on March 23, 2010.
