A health-care professional has been asked to enter a notation in a patient’s chart that is not factual. If the professional feels that she cannot discuss the situation with anyone, what approach to a bioethical dilemma can she take?

Grade Details – All Questions

Question 1. Question : Which of the following is most likely considered a competent patient?

Student Answer: 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. Question : 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?

Student Answer: 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. Question : 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?

Student Answer: 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. Question : The patient that expresses his or her wishes in writing with regard to medical treatment offers the following:

Student Answer: Advance directive

Living will

Either a or b

Neither a or b

Question 5. Question : Which of the following would be classified as a special circumstance with regard to consent?

Student Answer: 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. Question : 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?

Student Answer: 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. Question : The primary purpose of a medical record is to:

Student Answer: 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. Question : 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?

Student Answer: 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. Question : Which of the following identifies a patient’s strength?

Student Answer: 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 follow directions

Question 10. Question : All of the following are components of the medical record except:

Student Answer: Personal Identification Information

Medical History

Family Medical History

Flow Sheets

Question 11. Question : The argument over whether abortion is an option for women facing difficult pregnancies is a(n):

Student Answer: Moral dilemma

Cultural issue

Ethical issue

Bioethical issue

Question 12. Question : 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?

Student Answer: Identification

Information

Communication

Choice

Question 13. Question : 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?

Student Answer: Identification

Information

Communication

Choice

Question 14. Question : A health-care professional has been asked to enter a notation in a patient’s chart that is not factual. If the professional feels that she cannot discuss the situation with anyone, what approach to a bioethical dilemma can she take?

Student Answer: Identification

Information

Communication

Choice

Question 15. Question : Patients have a right to make decisions regarding their health care. This is reflected in the principle of respect for:

Student Answer: Autonomy

Beneficence

Nonmaleficence

Integrity