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1. A postoperative nurse is caring for a client after knee replacement. She discovers the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct answer: C
Rationale: The correct answer is C: 'Battery.' Battery could be charged if the consent was not signed before surgery. In this scenario, the lack of signed consent could constitute a case of battery, as the procedure was performed without the patient's explicit permission. Choice A, 'False imprisonment,' does not apply in this context, as it refers to the unlawful confinement of a person. Choice B, 'Libel,' involves making false statements that harm someone's reputation in writing, which is not relevant to the situation described. Choice D, 'Malpractice,' typically refers to professional negligence or failure to meet a standard of care, which is not the primary concern in this case.
2. Which of the following is an example of a secondary prevention activity?
- A. Blood pressure screening
- B. Administering medications
- C. Developing a care plan
- D. Providing rehabilitation
Correct answer: A
Rationale: The correct answer is A, blood pressure screening. Secondary prevention aims to identify and treat conditions early to prevent their progression. Blood pressure screening helps in early detection of hypertension, allowing for timely intervention. Choices B, C, and D are not examples of secondary prevention activities. Administering medications (B) can be part of treatment after a condition is diagnosed, developing a care plan (C) is more related to organizing and coordinating care rather than prevention, and providing rehabilitation (D) focuses on recovery and improvement post-diagnosis rather than early detection and prevention.
3. An RN comes upon a serious motor vehicle accident that has just occurred and no first responders are on the scene. One car has been flipped upside down, and she can see the driver still in the car. The RN decides to stop and help. She knows she is protected from civil liability as long as she does which of the following?
- A. Acts in an ordinary, reasonable, and prudent professional manner
- B. Assures that information obtained is not communicated to anyone else
- C. Does not make any verbal comments that could lead to economic harm
- D. Fails to meet the established standards of practice
Correct answer: A
Rationale: The correct answer is A: 'Acts in an ordinary, reasonable, and prudent professional manner.' In emergency situations, healthcare professionals are protected from civil liability as long as they act in a manner that any other reasonable and prudent professional would under similar circumstances. Choice B is incorrect because communication of relevant information is essential for patient care and handover to other healthcare providers. Choice C is incorrect as it pertains to a different issue of preventing economic harm rather than addressing the immediate medical needs of the injured driver. Choice D is incorrect because failing to meet established standards of practice can lead to liability, especially in emergencies where immediate action is required to save lives.
4. What is the primary goal of the Affordable Care Act (ACA)?
- A. To reduce healthcare costs
- B. To expand access to healthcare
- C. To improve healthcare quality
- D. To increase healthcare funding
Correct answer: B
Rationale: The primary goal of the Affordable Care Act (ACA) is to expand access to healthcare. While reducing healthcare costs and improving healthcare quality are important aspects, the ACA's main focus was on increasing the number of Americans with health insurance coverage and enhancing the availability and affordability of healthcare services. Increasing healthcare funding is not the primary goal of the ACA, as its main aim was to make healthcare more accessible and affordable for a larger portion of the population.
5. Which of the following best describes the concept of total quality management (TQM)?
- A. Top-down management
- B. Employee-centered approach
- C. Continuous improvement
- D. Quality control
Correct answer: C
Rationale: The correct answer is C: Continuous improvement. Total quality management (TQM) focuses on continuously improving all aspects of healthcare delivery to enhance patient care, safety, and overall quality. Choice A, 'Top-down management,' does not capture the essence of TQM, which involves involvement at all levels of an organization. Choice B, 'Employee-centered approach,' while important, is not the defining characteristic of TQM. Choice D, 'Quality control,' is a component of TQM but does not fully encompass its comprehensive approach to quality improvement.
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