BCEN Professional Issues and Leadership 4

Question 1

A patient's family member demands to see the patient's medical record immediately, claiming they have power of attorney. The nurse should:

Accepted Answer

Verify legal documentation of POA before releasing any information

Answer

Power of attorney for healthcare must be legally documented before a nurse can disclose protected health information to a third party.

Question 2

Mandatory overtime policies in emergency nursing are primarily opposed because they:

Accepted Answer

Impair clinical judgment and increase risk of adverse patient outcomes due to fatigue

Answer

Mandatory overtime leads to nurse fatigue, directly associated with impaired decision-making and elevated risk of patient harm.

Question 3

Which best describes the role of evidence-based practice (EBP) in emergency nursing?

Accepted Answer

Integrating current best research evidence with clinical expertise and patient values to guide care

Answer

EBP integrates the best available research evidence with clinical expertise and patient-specific values and preferences.

Question 4

An emergency nurse is offered a gift by a grateful patient's family. The most appropriate response is to:

Accepted Answer

Decline per professional ethics guidelines and facility policy on gifts

Answer

Professional nursing ethics and most facility policies prohibit accepting gifts from patients or families to avoid conflicts of interest.

Question 5

Which scenario represents a breach of patient confidentiality?

Accepted Answer

Discussing a patient's condition in a hallway where other patients can overhear

Answer

Discussing patient information in areas where it may be overheard by unauthorized individuals violates HIPAA confidentiality requirements.

(BCEN) Board of Certification of Emergency Nursing Practice Test