HSM 320 Health Rights and Responsibilities

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HSM 320 Health Rights and Responsibilities
Paper 1: Professional Liability—select an allied health (nonphysician) profession; this can be your own…

 

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HSM 320 Health Rights and Responsibilities

HSM 320 Health Rights and Responsibilities

A+ Entire Course: Application Paper Week 4, 7 | Quiz Week 4 | Discussions Week 1-7 | Final Exam

Professional liability – Application Paper Week 4

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Paper 1: Professional Liability—select an allied health (nonphysician) profession; this can be your own profession or another profession that interests you. Some examples of allied health professions include physical therapy, respiratory therapy, pharmacy, nursing, physician assisting, radiography, ultrasonography, nuclear medicine, medical laboratory, medical assisting, phlebotomy, and many others. Discuss a situation in which an individual in this profession might be held liable for negligence. Also discuss ways to proactively avoid or prevent negligence in the profession that you selected.

Preview:

Professional liability occurs when the individual does not or fail to perform effectively his or her job.  It can happen in many kinds of jobs, thus, it is important for the professional to understand what constitutes…

Health Rights and Responsibilities

Advance Directives – Application Paper Week 7

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Paper 2: Advance Directives—research and discuss the legal and ethical basis for Advance Directives such as the Living Will and Durable Power of Attorney for healthcare. Why are these documents so valuable in healthcare situations? What legal authority do these documents provide for decision making by family and/or healthcare providers? Briefly discuss a situation in which a Living Will might apply and would be of benefit to those involved. Once you have researched and discussed Advance Directives, draft a sample Living Will, indicating the type of content that should be found in such a document. Some students take this opportunity to prepare their own actual Living Will, and that certainly is encouraged.

Preview:

An advance directive is a form of legal document that tells the medical practitioners what a patient’s wishes are in health care in the event that the patient can no longer make a decision for himself.  This is also called advance…

Health Rights and Responsibilities

Quiz Week 4

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(TCO 1) The three-step model or approach to solving ethical dilemmas includes

Assessing how the action will make us feel.

Concluding that the action is legal.

Associating the problem with religious beliefs.

A and B only

None of the above

(TCO 1) The ethical theory that places the primary emphasis on a person’s individual rights is

Utilitarianism

Rights-based

Duty-based

Philosophy

None of the above

(TCO 2) Which of these refers to a physician using the same skill that is used by other physicians in treating patients with the same ailment?

Privileged communication

Informed consent

Implied consent

Standard of care

None of the above

(TCO 2) Medical law addresses legal rights and obligations which

Affect patients.

Protect the rights of individuals.

Protect the rights of healthcare professionals.

All of the above

None of the above

(TCO 4) List five types of medical practice.

Five types of medical practice are solo practice, partnership…

Health Rights and Responsibilities

(TCO 1) Present the three steps commonly used in analyzing ethical dilemmas in healthcare (Blanchard-Peale model). Explain how these steps would be used in a particular ethical dilemma of your choosing. You may select any healthcare ethical dilemma with which you have experience.

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The three steps commonly used in analyzing ethical dilemmas in healthcare are:…

(TCO 8) List five types of managed care organizations operating within the United States today, and provide a brief description of each type.

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Health Maintenance Organization (HMO)In this model, a diversity of healthcare services is made available to plan members for a…

HSM 320 Discussions Week 1-7 All Posts 472 Pages

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HSM 320 What are the Ethics and Standards of Care Discussions Week 1 All Students Posts 59 Pages

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HSM 320 What are the Ethics – 31 Pages

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Explain why ethics are not just about the sincerity of one’s beliefs, emotions, or religious viewpoints. Explain how medical ethics are described in the Hippocratic Oath, which is still taken by all medical graduates….

This discussion is our first pertaining to the topic of “What Are Ethics?” Please read Chapter 1, which contains information related to what is ethics and what ethics are and are not.

Also, Chapter 1 will explain what medical law and bioethics are, and how they are important aspects that affect the field of healthcare. Please use all of this information to answer this discussion question. I look forward to reading your posts and getting to know you as well!

How are ethical dilemmas between justice versus beneficence evident in the healthcare setting? What are some good examples?

Please examine the following situation: The CDC has just announced that there has been a major outbreak of smallpox in a community. They plan on offering the smallpox vaccine, but there is a very limited supply of the vaccine, so initially, they can only provide it to the very young and the disabled. People in other categories…

Standards of Care – 28 Pages

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Discuss what the term standard of care means for a physician and what it means for someone in your profession.

After reading Chapter 3, hopefully you will have a basic understanding of how important it is for all healthcare professionals to act in a prudent, legal and reasonable manner. Our actions as health care providers are judged as what a reasonable, prudent person would have done under a similar set of circumstances, not necessarily what could have happened under optimal circumstances. An important part of our actions is involved in providing the proper standard of care.

Please share your thoughts on what it means when we work to ensure that our clients are receiving the proper standard of care available. I look forward to hearing from you!

What is wrong with doing this? What would the act of locking the patient in the room be considered legally? What would be the standard of care for this worker in a difficult situation?
As a leader, how will you ensure that professionals in your facility are living up to the standard of care?

Why should we study the standard of care?  Why might it be important for healthcare leaders, even in a non-clinical position?…

Areas and Issues That MCOs Try to Control and Preventing Malpractice Discussions Week 2 All Students Posts 72 Pages

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Areas and Issues that MCOs Try to Control – 38 Pages

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Managed care can be considered any system of delivering health services in which care is delivered by a specified network of doctors, hospitals, and clinics that all agree to comply with the care regimes established by a care-management process. Providers may receive a capitated payment for providing all medically necessary care to enrollees or may be paid on a fee-for-service basis. Managed care often involves a defined delivery system of providers with some form of contractual arrangement with a health plan.  What are some of the areas and issues that MCOs try to control? How effective do you feel the MCOs in your own area have been in these efforts? …

Class, let’s list the different types of managed care plans. What are the differences in each?

Class, I agree with you that there are 3 main types of health maintenance organizations: HMO, PPO, POS.
Health Maintenance Organization (HMO) – In this model, a diversity of healthcare services is made available to plan members for a predetermined rate. Per member per month is the usual payment design. The problem for the hospital or clinic administrator is that the payment stays the same, regardless of what services are actually provided to the patients. A few very expensive cases can sink the ship, as the saying goes, for a particular month. And if the pattern continues, could sink the clinic or hospital permanently! The single biggest complaint about HMO’s is the delay in care which results from lengthy review and approval processes. Some services which doctors and patients consider essential are ultimately denied, producing a great deal of frustration in the care setting.

Preferred Provider Organizations (PPO) – In this plan, the patient uses a medical provider under contract with the insurer for an agreed upon fee. Sometimes this is a published fee schedule, sometimes a discount from charges. The PPO negotiates (sometimes fiercely I might add) with hospitals and doctors for…

Preventing Malpractice – 34 Pages

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What are some ways in which physicians and healthcare organizations can prevent malpractice? How does the doctor’s personal interaction with patients impact the possibility of malpractice litigation?…

As we delve deeper into our discussion on malpractice, let’s read a little more in our text. Chapter 6 discusses malpractice in the medical field. Chapter 5 is about the Physician-Patient Relationship, and it examines the duties, responsibilities and rights of physicians and patients.

How does the doctor’s personal interaction with patients impact the possibility of malpractice litigation?

Physician-Patient Relationship and Family Practice Medical Group Discussions Week 3 All Students Posts 68 Pages

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Physician-Patient Relationship – 36 Pages

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How has the physician-patient relationship changed over the past century? Are the changes good or bad for the delivery of quality healthcare?  How do you think this affects the patient’s level of perception about the care that they are receiving?…

Class, read the lecture scenario make comments. Have the nurses done the right thing by implying to the daughters that somehow they are not taking good care of their mother by not putting in the pacemaker?…

Following along with the Emergency Department question, what about burnout?  Burnout is a real issue, especially in the healthcare field. How does the person deal with this as an individual and how do the leaders of a department deal with burnout as a department?…

Family Practice Medical Group – 32 Pages

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Following Mrs. Cary’s admission to the hospital, she has initiated a lawsuit against Family Practice Medical Group (FPMG) and Community Hospital. Her suit claims that Dr. Smith failed to properly supervise his employees and as a result, she received the wrong medication which caused her hospitalization for hypotension (low blood pressure) and delayed treatment for her infection which then became life-threatening.
She is also suing Community Hospital because the office staff members are hospital employees. In the lawsuit, is there likely to be a judgment against the hospital? Or FPMG? Why?   Lawsuits are common in the healthcare practice and no healthcare professional is immune. But can a medical group and a hospital be held responsible for the actions of individual healthcare professionals that hold licenses or certifications? …

The benefits of legibility, being able to have prompts to make sure that a patient with a certain disease is prescribed appropriate medication are just a couple of benefits. Barriers include cost as you guys mentioned. My biggest concern is that…

This doctor sees many patients per day with multiple labwork results on most patients. The task of keeping up with everyone’s lab work and other tests is monumental. What are some things/processes that this office could have had in place that would have prevented this delay in care? What would happen if the delay had caused the patient to have more treatment?…

Health Rights and Responsibilities

Handling Medical Waste and HIPPA Compliance Discussions Week 4 All Students Posts 65 Pages

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Handling Medical Waste – 34 Pages

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As the new office manager for the Family Practice Medical Group, you are responsible for establishing policies and procedures for maintaining a safe environment for both the staff and patients. Medical waste is an important area that you will be legally responsible for, making sure it is handled safely and appropriately. The four categories of medical waste are: solid waste, chemical waste, radioactive waste, and infectious waste. Pick one of the categories and post your plan for safe handling of the waste. What types of items would be included in the category? What would your policy say about proper disposal?  What you would do to determine a proper waste disposal policy that was legal, practical, and effective?…

Chapter 7 contains information regarding the public duties of the physician. In this chapter, there is information pertaining to Protection for the Employee and the Environment, specifically medical waste.

After reading this information, please try to determine what you would do to determine a proper waste disposal policy that was legal, practical, and effective?…

What is the role of the Environmental Protection Agency in regulating medical waste in our facilities?…

HIPPA Compliance – 31 Pages

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The staff of any medical office comes into contact with a variety of PHI. As the office manager of FPMG, what practices would you put in place to ensure compliance with HIPAA?…

Let’s examine this scenario: A patient is seen at a hospital clinic that employs the physician and staff of this office. The patient, a minor who plays high school football, has a pretty serious potential orthopedic injury with potential long term effects. The physician tells the patient and his parents that play is not recommended as further injury could have devastating consequences for the minor’s future. Even surgery may be needed. The minor plays football in a small town where “football is king.” The parents feel the pressure of not only the small town, but they are aware that college scouts will be there to observe their son. They want their son to play to take full advantage of this situation. The coach, concerned about the overall orthopedic health of the player, calls the orthopedic office for an update. The office informs the coach that the minor should not play under any circumstances as potential for injury at this juncture is great. The coach bans the minor from play.

The parents are furious as their child’s “chance” at college scholarship may dissipate. They threaten to sue the hospital system that owns the physician office for the lost opportunity for their son. They indicate that the only people who were to receive the protected health information were the two parents, not the coach. How does this make you feel? What HIPAA concerns do you have? If you were working in this office and received this phone call, how would you have handled this situation knowing that the parent’s interest were somewhat misplaced? How could you have not violated HIPAA and kept the best interest of the minor patient?…

Health Rights and Responsibilities

Patient Confidentiality and Individual Health Insurance Mandate Discussions Week 5 All Students Posts 63 Pages

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Patient Confidentiality – 28 Pages

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Why has patient confidentiality become a more difficult issue to deal with in the present healthcare environment?  In addition to the question above, here is a little scenario that I would like you to review:

Ms. X, a local television personality, visits Dr. C for an appointment. She is recognized by a medical assistant, who asks the nurse about this patient. The nurse confirms the patient’s identity and then the medical assistant goes to the computer, pulls up Ms. X’s records, and finds out that the patient is being treated for cancer.

The medical assistant calls her sister and shares this information about Ms. X, and the sister begins to call others to tell them about it.

Who violated confidentiality in this case? Can we blame everyone for this breach of confidentiality? What could have been done to protect Ms. X’s information?…

So many people are involved in the care of the patient. How do we with technology try to ensure that only those that need to know, know?…

What would you do if you overhead a physician speaking to another patient though the walls? Does the fact that this is an accidental breach of confidentiality make it any less serious than an intentional breach?…

Health Rights and Responsibilities

Individual Health Insurance Mandate – 35 Pages

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Please share the steps you would take to prepare your facility for PPACA implementation.  Keeping my questions rolling…What is the history of the Affordable Care Act?    Let’s discuss the background of this Act and the changes that have been made to it since it was originally proposed.  What are some of the major provisions of the ACA?…

What are some of the major provisions of the ACA?

Choose one of the subtopics in the article below and summarize the Affordable Care Act’s effect on the subtopic.  If it is expected to be positive or negative, explain why.  If it’s effect is still up for debate, explain the controversy…

Health Rights and Responsibilities

Views on Abortion and Views on Sterilization Discussions Week 6 All Students Posts 77 Pages

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Views on Abortion – 34 Pages

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What do you say to a coworker who does not share your moral or religious views concerning abortion? Have you thought about how a moral/religious issue like abortion could impact your chosen health care field? Do you feel that there are any circumstances which justify abortion? Explain your view…

We are all familiar with Roe v Wade, the landmark court case legalizing abortion, but abortion legislation hasn’t ended there. Let’s talk about some of the court cases that came AFTER Roe v Wade…

It’s important that we recognize and respect the different cultural/religious beliefs of our patients as well. What are some beliefs related to reproductive rights/family planning that are associated with a particular group?…

Views on Sterilization – 43 Pages

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As a healthcare professional, what are your ethical perspectives on sterilization? Sterilization has increased as a form of permanent birth control for many people. If a person is making an informed decision and has been told about all of the risks and/or side effects, it is their individual choice as to whether to go through with it. As with any other medical procedure, if the patient is competent and fully informed, sterilization is accepted as an ethical choice for birth control. Thoughts?  Is there ever a justification for legally mandated sterilization? What circumstance and why?…

Let’s put a different spin on things: Is there ever a justification for legally mandated sterilization? What circumstance and why?…

At what point, if any, should the person forfeit his/her right to make decisions about family planning?  Because they’re poor?  Because they’ve had nine children? Because they make bad decisions?  You cannot legislate morality.  Shame on the physician(s) that took away this woman’s right to choose…

Health Rights and Responsibilities

The Ability to Determine Death and Increasing Healthcare Costs Discussions Week 7 All Students Posts 68 Pages

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The Ability to Determine Death – 35 Pages

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Why is the ability to determine when death has occurred so critical in today’s healthcare environment? What is the difference between brain-oriented death and cardiac death?  At what point is it acceptable to harvest organs from a dying patient?  Name one myth and one truth about organ donation.  What are the requirements to be an organ donor?…

Let’s talk about advance directives or “living wills.” Do any of you have a living will? What are some of the benefits to obtaining a living will? What is the difference between a living will and a durable power of attorney…

Now let’s talk a bit about euthanasia. What is the difference between active and passive euthanasia? What is a situation in which passive euthanasia might be acceptable?…

Increasing Healthcare Costs – 33 Pages

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What is at the heart of the increasing healthcare costs in America? Is it possible to reduce the cost of healthcare so that everyone can have access to affordable healthcare services? Do you feel that the Patient Protection and Affordable Care Act is a good step toward reducing healthcare costs in our nation? Why or why not? Health care costs can be devastating for American families without health insurance. How would you suggest we provide basic health care coverage for American families?…

Let’s talk about waiting times in countries with a national health care plan. I have heard of Canadians crossing the US/Canada border so that they can have urgent surgery.
Would you be willing to wait longer for an appointment with a physician so that you could have access to a national health care plan?…

Another thing to consider, though, is even if you do qualify for tax credits on paper, you may not actually be able to receive them based on your geographic location.  (The thinking being that the value of a dollar goes farther in Idaho, for example, than it does in California.)  Worth pursuing, though…

Final Exam

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(TCO 1) The three-step approach to solving ethical dilemmas is based on (Points : 5)

Asking ourselves how our decision would make us feel if we had to explain our actions to a loved one.

Asking ourselves if the intended action is legal.

Asking ourselves if the intended action results in a balanced decision.

A and B only

A, B, and C

(TCO 3) A type of managed care that combines the concepts of an HMO and PPO is a(n) (Points : 5)

Modified health maintenance organization

Managed care association

Health maintenance-provider organization

Preferred provider association

Exclusive provider organization

(TCO 4) In order to obtain a judgment for negligence, the patient must show (Points : 5)

Direct or proximate cause

Duty

Damages

Dereliction, or neglect, of duty

All of the above

(TCO 5) Medical record entries should be made (Points : 5)

Within 60 days of the patient’s discharge

At the physician’s discretion

After the patient gives consent

As soon as possible

10 days after the procedure

(TCO 5) Characteristics of a professional medical corporation include it being (Points : 5)

Designated as an HMO or IPA

Managed by a board of directors

Owned by shareholders

B and C only

A, B, and C

Health Rights and Responsibilities

(TCO 6) What specialist uses inaudible sound waves to outline shapes of tissues and organs? (Points : 5)

Electrocardiograph technologist

X-ray technologist

Phlebotomist

Ultrasound technologist

Social worker

(TCO 7) A miscarriage is the same thing as (Points : 5)

An induced abortion

A spontaneous abortion

A drug-induced abortion

A conscience clause

Eugenics

(TCO 8) An electroencephalogram is used to (Points : 5)

Reverse a coma patient’s condition

Measure cardiopulmonary function

Measure brain function

Reverse the condition of hypothermia

Reverse the condition of rigor mortis

(TCO 8) The Uniform Determination of Death Act (Points : 5)

Provides a definition of active euthanasia

Provides a definition of brain death

Is also called the doctrine of double effect

Mandates that everyone entering a nursing home must provide a written document stating the care he or she wishes to receive

Discusses the treatments that might be used for a comatose patient

(TCO 8) Terms referring to respiratory function include (Points : 5)

Tay-Sachs

Mediastinal

Thoracic

Pulmonary

Herings

(TCO 9) The practice of allowing a terminally ill patient to die by foregoing treatment is called (Points : 5)

Active euthanasia

Passive euthanasia

Mercy killing

A and B

B and C

Health Rights and Responsibilities

(TCO 9) When caring for a comatose patient, one should include (Points : 5)

CPR and mechanical breathing

Chemotherapy

Turning and hiqualitytutorialstion

A and B only

A and C only

(TCO 10) Medicaid provides coverage to (Points : 5)

Low-income individuals

Aged and younger individuals

Institutionalized individuals

All of the above

(TCO 2) Laws that affect the medical profession (Points : 5)

Often overlap with ethics

Have a binding force

Are always fair to all persons

Are determined by a governmental authority

A, B, and D

Health Rights and Responsibilities

(TCO 9) The impact of managed care on the affordability and quality of health care has been dramatic over the last couple of decades in America. There is data to both support and deny the value of managed care as means to quality health care and affordability.
What does this information suggest? (Points : 30)

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Managed care is a method for restructuring the healthcare system, including delivery of a broad …

(TCO 1) Explain what is meant by the statement, “It is easier to prevent negligence than it is to defend it.” (Points : 10)

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The statement “It is easier to prevent negligence than it is to defend it” means that instead of having to defend themselves in court, medical professionals should just do what…

(TCO 4) You have a patient collapse on the floor in your department (office) and you must administer CPR. If the patient is injured when you administer CPR, are you protected from a malpractice suit under the Good Samaritan laws? (Points : 10)

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From this scenario, a physician is not protected from a malpractice suit under the Good Samaritan Laws. Good Samaritan Laws do…

(TCO 5) Discuss the role of electronic health records and electronic transmission of date on patient confidentiality. (Points : 10)

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The role of electronic health records and electronic transmission of date on patient confidentiality are:

– Improve efficiency and effectiveness of the healthcare system via…

(TCO 6) What should health care professionals do if their ethical values differ from those of their employer? Discuss several options. (Points : 10)

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The healthcare professional may have a personal, religious, or ethical reason for not wishing to be involved in a particular procedure. Ideally, this preference should be…

(TCO 9) List and describe six hereditary disorders discussed in this chapter. (Points : 10)

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Six hereditary disorders:

  1. Cooley’s anemia – Rare form of anemia or reduction of red blood cells. More common in people of Mediterranean origin.
  2. Cystic fibrosis – Disorder of…

(TCO 9) Describe the three advance directives that a patient can use. When are they appropriate? (Points : 10)

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  1. Living will – Document that a person drafts before becoming incompetent or unable to make healthcare decisions. A patient may request that…

(TCO 2) Differentiate between common law and statutory law. (Points : 10)

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Common law, or case law based on decisions made by judges, was originally established by English courts in the twelfth century and brought to America by the…

Health Rights and Responsibilities

(TC0 1) Case Study: Adam Green is an orderly in the Midwest Nursing Home. His supervisor, Nora Malone, has asked him to supervise the dining room while 20 residents eat their evening meal. Bill Heckler is an 80-year-old resident who is very alert. He tells Adam that he doesn’t like the meal that’s being served, and he wants to leave the dining room and go back to his own room. Adam is quite busy, since he has to watch the behavior of several patients who are confused. He’s concerned that patients might choke on their food or otherwise harm themselves. Adam becomes impatient with Bill and tells him that he cannot leave the room until everyone is finished eating. Adam then locks the dining room door. Bill complains to the nursing home administrator that he was unlawfully detained. He then hires an attorney, who brings forth a charge of false imprisonment.
Conclude what will be the result of these actions by Adam (Points : 30)

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Adam should have used his communication skills to have Bill wait until he was able to…

(TCO 4) Case Study: Nancy Moore, a registered nurse, is assisting Dr. Brown while he performs a minor surgical procedure. Dr. Brown is known to have a quick temper, and he becomes very angry if a surgical procedure is delayed for any reason. As Nancy is handing a needle with suture thread to Dr. Brown, she feels a slight prick in her sterile gloves. She tells Dr. Brown about this and explains that she will have to be excused from the procedure for a few minutes while she changes gloves. He becomes angry and tells her to “forget about it and help me finish.”
Conclude the results that may occur because of this situation. (Points : 30)

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It will be harmful to anyone if Nancy wears the gloves during the rest of the procedure, as it was just a slight prick and the patient’s wound does appear to be…

(TCO 8) Case Study: A physician was recently convicted of using his own sperm for artificially inseminating his patients. He told the court that he didn’t see anything wrong with this practice because these women came to him wanting to have a child. However, his patients were unaware that he was using his own sperm for the procedure. Some of his office staff became suspicious of the physician’s methods, but failed to report their suspicions immediately. Many children were conceived as a result of this physician’s sperm having been implanted into the mothers.
Given this situation (problem), what is your assessment? (Points : 30)

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Many moral and ethical problems surround the issue of Artificial Insemination Donor (AID). AID records, which contain the identity of the sperm donor, are considered…

Health Rights and Responsibilities

DeVry