Chapter 20 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Chapter 20 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A person requires assistance with bathing, feeding, ambulation, and skin care. Which inpatient care setting is most appropriate for this person?

1. An elder day care center
2. A hospice care center
3. A nursing home
4. An assisted living center

Correct Answer: 3

Rationale 1: Elder day care centers provide care to adults who are unable to stay home by themselves, but go home in the evening to be cared for in the home, many times by adult children or other relatives.

Rationale 2: Hospice care centers are for persons who are terminally ill. There is no indication that this patient is terminally ill.

Rationale 3: A person who requires assistance with three or more activities of daily living is best served by the nursing home environment.

Rationale 4: Assisted living residents may need assistance with two activities. The patient in this question likely needs more care than is traditionally available in an assisted living center.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 20.1 Define the various long-term care settings, including nursing homes, assisted living centers, hospice care centers, and elder day care centers.

Question 2

Type: MCSA

An elderly person, who lives with adult children, requires therapeutic and social services and cannot stay alone in the daytime. The person is alert and oriented, but needs a more structured setting during the day. Which care setting is likely the most appropriate for this person?

1. Adult day social care
2. Assisted living
3. Alzheimer’s specific adult day care
4. Adult day health care

Correct Answer: 4

Rationale 1: Adult social care provides social activities, meals, recreation, and some limited health-related services, but not to the extent needed by this person.

Rationale 2: Adult day health care provides more intensive health, therapeutic, and social services. Adult social care provides social activities, meals, recreation, and some limited health-related services, but not to the extent needed by this person. Alzheimer’s day care is specific for those with dementia. Assisted living centers become the resident’s home.

Rationale 3: Alzheimer’s day care is specific for those with dementia.

Rationale 4: Adult day health care provides more intensive health, therapeutic, and social services.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 20.1 Define the various long-term care settings, including nursing homes, assisted living centers, hospice care centers, and elder day care centers.

Question 3

Type: MCSA

Nurses providing care in a long term care settings should be very aware of the potential for which patient incident that is one of the primary causes of action in lawsuits against these facilities?

1. Medication errors
2. Abuse of residents
3. Resident falls
4. Inadequate resident nutrition

Correct Answer: 3

Rationale 1: Medication errors are certainly important and should be avoided. However, a different type of incident is more prevalent in this setting.

Rationale 2: Abuse of residents does occur unfortunately. However, a different type of incident is more common.

Rationale 3: Similar to acute care settings, falls are one of the primary reasons that lawsuits are filed against long-term care facilities. Statistics show an average of 2.6 falls per person per year. In this setting, falls are frequently more preventable than in an acute care facility and thus are less able to be defended.

Rationale 4: Unfortunately cases in which residents do not receive adequate nutrition do occur. They are not as common as another incident.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 20.3 Discuss aspects of providing quality care in long-term care settings, including falls and restraints, skin and wound care, nutrition and hydration, patient safety issues, patient transfer, and duty to assess, monitor, and communicate.