PN Comprehensive Predictor 2017

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Fact

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Professional Responsibilities: evaluating

client understanding of advance directives

andhealth care proxy

- A durable power of attorney for

healthcare/health care proxy is a

legal document that designates a

health caresurrogate, who is an

individual

authorized to make health care

decisions for a client who is unable

to.

- The person who serves the role of

thehealth care surrogate will

make decisions for the client and

should bevery familiar with the

client’s wishes.

- Living wills can be difficult to

interpret, especially in the face of

unexpected circumstances. A

durablepower of attorney for

health care, as an adjunct to a

living will, can be a more effective

way of ensuring that

the client’s decisions about health

careare honored.

Legal responsibilities: client advocacy - Understanding the laws

governing nursing practice helps

nurses protectclients’ rights and

reduce the risk ofnursing

liability.

- Nurses are accountable for

protecting the rights of clients.

Examples includeinformed

consent, refusal of treatment,

advance directives, confidentiality,

and information security.

- Nurses must ensure that

clients understand their

rights, and must

protect their clients’ rights.

Managing client care:

requestingreassignment of a

client

- Assigning is performed in a

downwardor lateral manner with

regard to members of the health

care team.

- The five major management

functionsare planning, organizing,

staffing, directing, and

controlling.

- The 5 rights of delegation: right

task,circumstance, person,

direction and communication.

Protecting the rights of a dying client - Nurses are accountable for

protecting the rights of clients.

Situations that require particular

attention include informed

consent, refusal of treatment,

advance directives, confidentiality,

and information security.

- Nurses must ensure that clients

understand their rights. Nurses

alsomust protect clients’ rights

during nursing care.

- Regardless of the client’s age,

nursingneeds, or the setting in

which care is provided, the basic

tenants are the

same.

Bulimia Nervosa - Pt demonstrates high

interest inpreparing food,

but not eating.

- Binge eating and inappropriate

compensatory behaviors both

occur onaverage of once per week

for 3 months.

- Most pts who have bulimia

nervosa maintain a weight

within the normal range or

slightly higher.

Reporting client care issues to

aninterprofessional team

- Nurse‑provider collaboration

shouldbe fostered to create a

climate of

mutual respect and

collaborativepractice.

- Collaboration occurs among

differentlevels of nurses and

nurses with different areas of

expertise.

- Collaboration should also occur

between the interprofessional

team, the client, and the client’s

family/significant others when an

interprofessional plan of care is

beingdeveloped.

Managing client care: initial assessment - Give priority to clients who have a

reasonable chance of survival with

prompt intervention. Clients who

havea limited likelihood of

survival even with intense

intervention are assigned the

lowest priority.

- Use this framework for situations

in which health resources are

extremely

limited (mass casualty, disaster

triage).

- Look first for a safety risk.

Forexample, is there a

finding that

suggests a risk for airway

obstruction,hypoxia, bleeding, 

infection, or injury?

Recommendations for time management - Nurses must continuously set and

resetpriorities in order to meet the

needs of multiple clients and to

maintain client safety.

- Priority setting requires that

decisionsbe made regarding the

order in which;

- Clients are seen.

- Assessments are completed.

- Interventions are provided.

- Steps in a client procedure

arecompleted.

- Components of client care

arecompleted.