A nurse is assisting with preparing to teach a newly licensed nurse about the Emergency Medical Treatment and Labor Act (EMTALA). Which of the following information should the nurse include?
If client is uninsured the ED can decline to render services
The ED has the right to refuse to provide client services
The ED can transfer medically unstable clients to other facilities
Clients must receive a medical screening evaluation (MSE)
The Correct Answer is D
Choice A reason: If client is uninsured the ED can decline to render services is not an information that the nurse should include in the teaching. This is a false statement that contradicts the purpose and the provision of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who requests it, regardless of their insurance status or ability to pay.
Choice B reason: The ED has the right to refuse to provide client services is not an information that the nurse should include in the teaching. This is a false statement that violates the principle and the requirement of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department has a duty to provide stabilizing treatment to any individual who has an emergency medical condition or is in active labor, unless an appropriate transfer is arranged.
Choice C reason: The ED can transfer medically unstable clients to other facilities is not an information that the nurse should include in the teaching. This is a false statement that breaches the rule and the regulation of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must not transfer an individual who has an emergency medical condition or is in active labor, unless the transfer is requested by the individual or their representative, or the transfer meets certain criteria, such as the benefits outweigh the risks, the receiving facility has agreed to accept the transfer, and the transfer is effected by qualified personnel and equipment.
Choice D reason: Clients must receive a medical screening evaluation (MSE) is an information that the nurse should include in the teaching. This is a true statement that reflects the essence and the standard of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who comes to the emergency department and requests examination or treatment for a medical condition, to determine whether or not an emergency medical condition exists
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason: All 50 states have the same criteria for passing the exam is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not account for the variations in the passing standards among different jurisdictions. According to the NCSBN website, the passing standard for the NCLEXRN exam is 0.2700 logits, and the passing standard for the NCLEXPN exam is 0.1800 logits. However, some jurisdictions may have additional requirements or criteria for licensure or registration, such as education, background checks, or jurisprudence exams.
Choice D reason: An 80% confidence rule is used for passing the exam is information that the nurse should identify about the NCLEX exam. This is a true statement that describes the statistical method that is used to determine the pass or fail status of the candidates. According to the NCSBN website, the NCLEX exam uses a computerized adaptive testing (CAT) model that adjusts the difficulty and the number of the items based on the candidate's ability. The exam ends when the candidate's ability estimate is either above or below the passing standard with at least 80% confidence, or when the maximum or minimum number of items or time is reached.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because an interprofessional team does not necessarily decrease the number of visits to client by staff. In fact, an interprofessional team may increase the frequency and quality of communication and interaction between the client and the staff, as each member of the team contributes their expertise and perspective to the client's care. This can enhance the client's satisfaction, engagement, and education.
Choice B reason: This statement is correct because an interprofessional team can improve the efficiency in client care services. An interprofessional team can coordinate and integrate the care delivery across different disciplines, settings, and levels of care, reducing the duplication, fragmentation, or gaps in the services. This can also lower the costs and risks of care, and improve the outcomes and quality of care.
Choice C reason: This statement is incorrect because an interprofessional team does not increase the length of stay for client. On the contrary, an interprofessional team can reduce the length of stay for client by providing timely, appropriate, and effective care that meets the client's needs and goals. This can also prevent the readmission or complication of the client, and facilitate the transition and discharge of the client.
Choice D reason: This statement is incorrect because an interprofessional team does not decrease the number of referrals needed for client. Rather, an interprofessional team can enhance the referral process by ensuring that the client receives the right service from the right provider at the right time. An interprofessional team can also collaborate and communicate with the referral sources, and follow up on the client's progress and response to the service.
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