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 C
Explanation
A. The nurse's role is to provide the client with initial information about the procedure prior to obtaining informed consent: The nurse can provide information, but the responsibility for providing initial information and obtaining informed consent lies with the provider.
B. Clients are unable to change their mind once a consent form is signed: Clients have the right to revoke their consent at any time before the procedure, even after signing the consent form. Consent is an ongoing process, and clients can change their decision at any point.
C. The provider performing the procedure is responsible for obtaining informed consent: It is the provider's responsibility to ensure the client understands the procedure, risks, and benefits, and to obtain informed consent.
D. The provider obtains verbal consent for the procedure without witnessing the client's signature: Written consent is required for procedures, and verbal consent is only valid in specific situations, such as emergencies.
Correct Answer is C
Explanation
A. Add water during tube flushes: Adding water during tube flushes is important for maintaining tube patency and hydration but does not directly address diarrhea. It is not a primary solution for managing diarrhea caused by enteral feedings.
B. Change to an enteral formula that has added fiber: While fiber can help regulate bowel movements, changing to a formula with added fiber is not the first intervention for diarrhea. A slow-down of the feeding rate may be more effective to allow the digestive system more time to process the formula.
C. Slow down the instillation flow rate: Slowing down the flow rate of the enteral feeding can reduce the likelihood of diarrhea. A rapid infusion rate can overwhelm the intestines and lead to diarrhea, so adjusting the flow rate is an appropriate first step.
D. Add yogurt to enteral feedings: While yogurt contains probiotics that might help with gut health, adding it to the feeding may not be advisable unless specifically indicated. The primary step for managing diarrhea is adjusting the flow rate of the feeding.
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