CARN Ethical and Legal Principles 2

Question 1

A patient in an addiction treatment program requests that their employer not be informed of their diagnosis. Which federal regulation primarily protects this confidentiality?

Accepted Answer

42 CFR Part 2

Answer

HIPAA Privacy Rule

Answer

ADA Title I

Answer

FMLA provisions

Question 2

Under 42 CFR Part 2, which of the following disclosures is permitted WITHOUT patient consent?

Accepted Answer

Medical emergency involving immediate threat to life

Answer

Sharing records with a patient's primary care physician

Answer

Reporting to a state health department for public health surveillance

Answer

Providing records to a managed care organization for billing

Question 3

A CARN discovers that a colleague is diverting opioid medications intended for addiction treatment patients. What is the nurse's primary ethical and legal obligation?

Accepted Answer

Document the behavior and report to the nursing supervisor and appropriate authorities

Answer

Confront the colleague privately and give them a chance to self-report

Answer

Report only if the behavior continues after a warning

Answer

Maintain silence to protect patient privacy

Question 4

Which ethical principle is MOST at stake when a nurse provides inaccurate information about the risks of medication-assisted treatment to steer a patient toward a preferred abstinence-only program?

Accepted Answer

Veracity

Answer

Justice

Answer

Fidelity

Answer

Autonomy

Question 5

A patient with opioid use disorder is court-ordered to treatment but refuses medication-assisted treatment on religious grounds. The ethical principle most relevant to honoring this refusal is:

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Nonmaleficence

Answer

Justice

Question 6

A CARN is asked to sign documentation attesting to treatment services that were not actually provided. This action would constitute:

Accepted Answer

Healthcare fraud

Answer

Boundary violation

Answer

Scope of practice violation

Answer

Mandatory reporting failure

Question 7

When a patient threatens to harm a specific, identifiable third party, a nurse's legal duty under Tarasoff principles requires:

Accepted Answer

Warning the potential victim and notifying appropriate authorities

Answer

Maintaining confidentiality and documenting the threat in the chart only

Answer

Consulting an ethics committee before taking any action

Answer

Increasing the patient's medication to reduce risk