HSM 320 Final Exam

HSM 320 Final Exam

Author: Christine Farr


1. (TCO 9) Case Study
Glenn Ross, a 55-year-old man, was diagnosed with inoperable pancreatic cancer. His prognosis was poor; he was given about six months to live. He underwent several series of chemotherapy treatments, but they were of no benefit. He continued to lose weight, suffer from nausea, and become weaker. After three months of chemotherapy treatments, he stated that he wanted no further treatment. He became bedridden and was admitted into a nursing home for terminal care. Glenn's son, who lived in another state, arrived at the nursing home and demanded that his father's physician be called immediately. The son wanted his father to be hospitalized and placed on chemotherapy immediately. When the physician explained that there was little hope for the father's recovery, the son threatened to sue the physician for withdrawal of care.
Given this situation (problem), what should be done? (Points : 30)
2. (TCO 1) Discuss the difference between the terms legal and moral. (Points : 10)
3. (TCO 4) You have a patient collapse on the floor in your department (office) and you must administer CPR. If the patient is injured when you administer CPR, are you protected from a malpractice suit under the Good Samaritan laws? (Points : 10)
4. (TCO 5) Discuss the role of electronic health records and electronic transmission of date on patient confidentiality. (Points : 10)
5. (TCO 6) Why is the implementation of the new Privacy Rule so expensive? (Points : 10)
6. (TCO 9) Discuss the history of U.S. Supreme Court decisions relating to abortion since Roe v. Wade. (Points : 10)
7. (TCO 9) Describe the three advance directives that a patient can use. When are they appropriate? (Points : 10)
8. (TCO 2) Consider the growth of managed care in the US over recent decades. What impact will managed care have on your career in health care. (Points : 10)
1. (TCO 1) Case Study
Your friend shows you some books he took from the bookstore without paying for them. When you question him about it, he says, "Sure I took them. But I'm no different than anybody else around here. That's how we all manage to get through school on limited funds. I'll be a better medical professional because of all the knowledge I gain from these books."
Given this situation (problem), what should you do? (Points : 30)
2. (TCO 4) Case Study
Nancy Moore, a registered nurse, is assisting Dr. Brown while he performs a minor surgical procedure. Dr. Brown is known to have a quick temper, and he becomes very angry if a surgical procedure is delayed for any reason. As Nancy is handing a needle with suture thread to Dr. Brown, she feels a slight prick in her sterile gloves. She tells Dr. Brown about this and explains that she will have to be excused from the procedure for a few minutes while she changes gloves. He becomes angry and tells her to "forget about it and help me finish."

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