A patient who had provided an advance directive indicating that he should not be resuscitated was allowed to die when his heart stopped beating shortly after his admission to the ICU
The family of the patient has disputed the authenticity of the advance directive and filed a complaint with the hospital. Which intervention would be most appropriate to address this ethical dilemma?
A) Ethics rounds involving the medical staff involved in the patient's care
B) Review by the hospital's institutional ethics committee
C) An individual patient ethics conference with the family
D) Review of the ANA Code of Ethics by the patient's nurse
B
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Which of the following conditions would contraindicate the use of warfarin (Coumadin) therapy in a patient?
a. Deep vein thrombosis b. Pulmonary embolism c. Pregnancy d. Hypercoagulability
The informatics nurse reviews how Medicare and Medicaid have begun to offer financial incentives to healthcare providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which statement should be used to describe the goal of meaningful use?
A) Input data in a manner that creates evidence-based practice models. B) Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way. C) Provide a warehouse of data that supports medication renewal and patient teaching plans. D) Offer the clinician patient-care tools for improved outcomes.
The most common cause of trisomy 21 (Down syndrome) is
a. advanced maternal age b. family history of Down syndrome c. exposure to teratogens d. maternal ingestion of anticonvulsant medications
Leadership structures in health care can be centralized or decentralized. The nurse understands that she is working in a centralized structured environment when which of the following occurs?
a. All organizational decisions must be approved by the CEO. b. Changes can be made rapidly based on immediate needs. c. Nurses must work under a dual-authority structure. d. Decisions can be made at the "point of care.".