ATI LPN
Final Exam Legal and Ethical Aspects in Healthcare Quizlet Questions
Question 1 of 5
You have a patient who is an HIV-positive physician. He has recently found out that he is HIV-positive. He is very concerned about confidentiality and you are the only one who knows he is HIV-positive. He asks you who you are legally obligated to inform. What should you tell him?
Correct Answer: D
Rationale: Patients with HIV have a right to privacy unless they pose a direct risk to others, which is not the case here with universal precautions in place.
Question 2 of 5
A man comes to the emergency department after a stab wound. Your notes document a 500-mL loss of blood. Later that night the patient develops asystole and dies. You find the loss of blood was originally really 3,000 mL, which was not recorded by you. What should you do to correct the documentation?
Correct Answer: D
Rationale: Corrections must be made with a new note, dated currently, to maintain credibility and transparency.
Question 3 of 5
An 18-month-old child presents to the clinic with a runny nose. Since she is otherwise well, the immunizations due at 18 months are administered. After she and her mother leave the clinic, you realize that the patient was in the clinic the week before and had also received immunizations then. Should you tell the parents about your mistake?
Correct Answer: D
Rationale: Honesty about errors, even minor ones, maintains trust and is ethically required.
Question 4 of 5
A 65-year-old man comes to his physicians with complaints of abdominal pain that is persistent but not extreme. Workup reveals that he has metastatic cancer of the pancreas. The man has just retired from a busy professional career, and he and his wife of 40 years are about to leave on a round-the-world cruise that they've been planning for over a year. Should you tell him his diagnosis?
Correct Answer: B
Rationale: Patients have a right to know their diagnosis promptly to make informed decisions, absent compelling evidence of harm.
Question 5 of 5
A 43-year-old patient asks the physician to examine his 75-year-old mother, who has been complaining of headaches. When the woman presents for her first appointment, she admits to having a severe, persistent headache for the past 4 weeks. She says the headache is worse in the morning and always lingers throughout the day. She usually feels nauseated but has no vomiting. Her medical history is significant for severe depression and anxiety, and her current medications include an antidepressant. A complete workup shows that she has a brain tumor, likely a glioblastoma. Both she and her son (also the physician's patient) are present at today's appointment to learn of the diagnosis. Before the physician has a chance to discuss the findings, the son steps outside the patient's room and requests that the physician not reveal the diagnosis to his mother. Which of the following is the most appropriate response?
Correct Answer: C
Rationale: Understanding the son's reasoning is key before deciding, as rare exceptions may apply if harm is likely.