PN Comprehensive Predictor 2017
Topi
c
Fact
s
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.
Category | Exam (elaborations) |
Included files | |
Pages | 33 |
Language | English |
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High resolution | Yes |
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