SGNA Documentation and Legal Issues 2

Question 1

Which document allows a designated person to make healthcare decisions for an incapacitated patient?

Accepted Answer

Healthcare proxy (durable power of attorney for healthcare)

Answer

A healthcare proxy (durable power of attorney for healthcare) designates a surrogate decision-maker to make medical decisions when a patient lacks decision-making capacity.

Question 2

Before administering medications, the GI nurse must verify the 'five rights' of medication administration. Which of the following is one of the five rights?

Accepted Answer

Right dose

Answer

The five rights are: right patient, right drug, right dose, right route, and right time — the foundational medication safety framework.

Question 3

A patient's family member calls asking for procedure results. Under HIPAA, the nurse may share information:

Accepted Answer

Only if the patient has given prior authorization

Answer

HIPAA prohibits sharing PHI with family members without the patient's explicit authorization, even with next of kin, unless the patient is present and agrees.

Question 4

What is the primary purpose of the Joint Commission's National Patient Safety Goals (NPSGs) in endoscopy?

Accepted Answer

Reduce healthcare-associated harm and preventable errors

Answer

NPSGs are evidence-based safety standards from The Joint Commission addressing common causes of preventable patient harm, including patient identification and communication.

Question 5

Scope of practice for GI nurses regarding sedation administration is primarily determined by:

Accepted Answer

State nurse practice acts and facility policy

Answer

State nurse practice acts define the legal boundaries of nursing practice, with facility policies further specifying approved activities within those legal limits.

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA Documentation and Legal Issues 2