A nurse is conducting an in-service for staff members about the Emergency Medical Treatment and Active Labor Act. Which of the following statements by a staff member indicates an understanding of this act?
"A client can be discharged to another facility if their behavior is unsafe and inappropriate."
"A client can be discharged to another facility if their condition is terminal."
"A client can be discharged to another facility if they are unable to pay for services received."
"A client can be discharged to another facility when their condition stabilizes”
The Correct Answer is D
A. The Emergency Medical Treatment and Active Labor Act requires that emergency care be provided regardless of the client’s behavior, as long as the client is seeking treatment for an emergency medical condition.
B. EMTALA requires that a client receive a medical screening and stabilization before being transferred, regardless of whether the condition is terminal. A terminal diagnosis does not justify transferring a client without stabilization first.
C. EMTALA prohibits discrimination based on a client’s ability to pay. A client cannot be transferred or discharged from an emergency department based on their inability to pay for services.
D. EMTALA requires that a client must be stabilized before being transferred to another facility. This ensures that the client is not placed at risk by the transfer, and the new facility is prepared to manage their care appropriately.
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Related Questions
Correct Answer is B
Explanation
A. Make a priority list of information the client should learn: While making a priority list of information is important, it should come after assessing the client's learning needs. This ensures that the most relevant and important information is prioritized.
B. Determine the client's learning needs: The first step in planning teaching is to assess the client’s learning needs. This allows the nurse to tailor the teaching plan to the client’s level of understanding, cultural preferences, and specific concerns related to the central venous access device.
C. Obtain written information to give the client: Written information is helpful but should not be the first step. It is more effective when tailored to the client’s learning needs, which should be assessed first to ensure relevance.
D. Select a visual method to reinforce verbal teaching for the client: Visual methods can be helpful for reinforcing verbal teaching, but this step should follow the assessment of the client’s learning needs. Teaching strategy should align with the client’s preferred learning style.
Correct Answer is A
Explanation
A. "Would you like to discuss other treatment options with your provider?": This response invites the client to express concerns and explore alternative treatments. It shows respect for their preferences and promotes a collaborative decision-making process.
B. "Regular monitoring is not difficult and will ensure that you remain healthy.": This response downplays the client’s concerns and could be seen as dismissive. It focuses more on the ease of monitoring than addressing the client’s discomfort.
C. "Your provider wants you to take this medication.": Using authority to justify medication may cause the client to feel coerced rather than involved in their treatment. This doesn’t address their concerns and may erode trust.
D. "Why don't you want to undergo monitoring?": Asking why could put the client on the defensive and may make them feel judged. It doesn’t foster open communication or understanding of the client’s concerns.
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