Legal and Ethical Considerations Flashcards
7 cards from real QMA INSULIN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Legal and Ethical Considerations flashcards as text
A resident with dementia cannot verbally consent to an insulin injection. Who provides legal consent?
Answer: The legally designated healthcare proxy or power of attorney
When a resident lacks decision-making capacity, the legally designated healthcare proxy or power of attorney provides consent for treatment.
Which document outlines a resident's wishes regarding life-sustaining treatment that a QMA must be aware of?
Answer: The advance directive or living will
An advance directive or living will legally documents a resident's preferences about treatment, including life-sustaining measures, and must be honored.
A QMA overhears a colleague joking about a resident's insulin dependency in the hallway. This is:
Answer: A violation of the resident's dignity and confidentiality
Discussing residents in a derogatory or identifying manner in non-private settings violates both HIPAA confidentiality standards and the resident's right to dignity.
Under which law are QMAs in long-term care settings primarily required to protect resident rights?
Answer: The Omnibus Budget Reconciliation Act (OBRA) of 1987
OBRA 1987 established the Resident Bill of Rights and set federal standards protecting the rights of nursing home residents.
A QMA forgets to document insulin administration immediately and documents it two hours later. This is:
Answer: A documentation error that can compromise patient safety and legal records
Late documentation is a charting error that can cause duplicate dosing, unclear records, and creates legal risk even if the medication was given correctly.
Which ethical principle is demonstrated when a QMA ensures a resident with limited English receives an interpreter during insulin education?
Answer: Justice
Justice requires fair and equitable treatment for all residents regardless of language, culture, or background.
A QMA is pressured by a family member to give extra insulin because the resident 'always needs more.' The QMA should:
Answer: Administer only the ordered dose and refer the family to the nurse
Insulin must only be administered as ordered by the prescriber; unauthorized dose changes are dangerous and illegal regardless of who requests them.
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