VABC Ethical Considerations 3

Question 1

Which scenario BEST represents an ethical breach of patient confidentiality in vascular access practice?

Accepted Answer

Discussing a patient's PICC site status in a crowded elevator

Answer

Discussing identifiable patient information in public spaces violates HIPAA and the ethical principle of confidentiality.

Question 2

A nurse suspects a patient's PICC was inserted without proper informed consent. The nurse's first step should be to:

Accepted Answer

Review the medical record for consent documentation

Answer

Reviewing the medical record is the appropriate first step to determine whether proper consent was documented before escalating concerns.

Question 3

The ethical principle of justice in vascular access care requires that:

Accepted Answer

Patients receive equitable access to appropriate vascular devices regardless of ability to pay

Answer

Justice demands fair distribution of healthcare resources and equal treatment of all patients without discrimination.

Question 4

A patient asks a vascular access nurse not to share their HIV status with family members visiting. The nurse should:

Accepted Answer

Honor the patient's request and maintain confidentiality

Answer

Patient confidentiality is a legal and ethical obligation; HIV status is protected health information that cannot be shared without patient consent.

Question 5

When a patient lacks English proficiency, ethically obtaining informed consent for vascular access requires:

Accepted Answer

Using a qualified medical interpreter before the procedure

Answer

True informed consent requires the patient to understand the information, which necessitates a qualified interpreter, not a family member who may filter or distort information.

(VABC) Vascular Access Board Certification Practice Test

(VABC) Vascular Access Board Certification Practice Test

VABC Ethical Considerations 3