PRE ASSESSMENT HEALTHCARE
VALUES AND ETHICS PKEC C426
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 - answersNonmaleficence
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 - answersWarn
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 - answersReligion
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 - answersGetting 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 - answersHospitalization
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 - answersTo
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 - answersThe 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. - answersThe 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 - answersProviding
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? -
answersSentinel 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.
VALUES AND ETHICS PKEC C426
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 - answersNonmaleficence
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 - answersWarn
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 - answersReligion
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 - answersGetting 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 - answersHospitalization
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 - answersTo
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 - answersThe 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. - answersThe 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 - answersProviding
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? -
answersSentinel 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.
