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Document within the medical record that the client has advance directives in place.
The patient self determination act requires acute care facilities to have documentation
in the medical record that a client has advance directives. The nurse should document
the clients wishes for other health care workers who are caring for the client so that
they understand the clients plan of care.
, A nurse is developing a plan of care for a client who has chronic kidney
disease. The client gives the nurse copies of his advance directives which
state that he does not want to begin dialysis. Which of the following
actions should the nurse include in the plan?
Functional nursing.
Also called task nursing, involves the nurse manager breaking dawn the needs of the
clients into tasks and assigning the tasks using the skill and licensure of each staff
member appropriately and efficiently. This model of nursing is uncommon in acute
care settings, except in crisis situations, or when there is a shortage in staffing
numbers.
A nurse manager is anticipating a period when staffing will be especially
short. The nurse manager decides to reorganize the delivery of care on the
unit until staffing improves by appointing a charge nurse, a mediation
nurse, and a treatment nurse. Which of the following delivery systems is the
nurse manager using?
Inform the provider to ask the grandparent to provide consent.
Inform the provider that the grandparent is the closest adult relative available for
signing the informed consent. The closest adult relative can provide consent in an
emergency situation when the clients parents or guardian are unavailable.
, A nurse in an emergency department is admitting a 15-year-old client who
is accompanied by her grandparent. The client requires an open reduction
and internal fixation of several fractures. The nurse confirms that the clients
parents are out of the country. Which of the following actions should the
nurse take?
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the
situation portion (S) of the SBAR communication tool.
A nurse is using the SBAR communication tool for reporting a clients
condition to the provider. Which of the following information should the
nurse include in the "S" portion of the tool?
Would you like to speak with the provider again?
When witnessing informed consent, the nurse is responsible for notifying the provider
if the client has questions or appears not to understand any of the information about
the surgery.
A nurse is assisting a client who is scheduled to undergo a hysterectomy
after signing an informed consent form. The clients states, "Signing this
form makes me nervous." Which of the following responses should the
nurse make?
Document within the medical record that the client has advance directives in place.
The patient self determination act requires acute care facilities to have documentation
in the medical record that a client has advance directives. The nurse should document
the clients wishes for other health care workers who are caring for the client so that
they understand the clients plan of care.
, A nurse is developing a plan of care for a client who has chronic kidney
disease. The client gives the nurse copies of his advance directives which
state that he does not want to begin dialysis. Which of the following
actions should the nurse include in the plan?
Functional nursing.
Also called task nursing, involves the nurse manager breaking dawn the needs of the
clients into tasks and assigning the tasks using the skill and licensure of each staff
member appropriately and efficiently. This model of nursing is uncommon in acute
care settings, except in crisis situations, or when there is a shortage in staffing
numbers.
A nurse manager is anticipating a period when staffing will be especially
short. The nurse manager decides to reorganize the delivery of care on the
unit until staffing improves by appointing a charge nurse, a mediation
nurse, and a treatment nurse. Which of the following delivery systems is the
nurse manager using?
Inform the provider to ask the grandparent to provide consent.
Inform the provider that the grandparent is the closest adult relative available for
signing the informed consent. The closest adult relative can provide consent in an
emergency situation when the clients parents or guardian are unavailable.
, A nurse in an emergency department is admitting a 15-year-old client who
is accompanied by her grandparent. The client requires an open reduction
and internal fixation of several fractures. The nurse confirms that the clients
parents are out of the country. Which of the following actions should the
nurse take?
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the
situation portion (S) of the SBAR communication tool.
A nurse is using the SBAR communication tool for reporting a clients
condition to the provider. Which of the following information should the
nurse include in the "S" portion of the tool?
Would you like to speak with the provider again?
When witnessing informed consent, the nurse is responsible for notifying the provider
if the client has questions or appears not to understand any of the information about
the surgery.
A nurse is assisting a client who is scheduled to undergo a hysterectomy
after signing an informed consent form. The clients states, "Signing this
form makes me nervous." Which of the following responses should the
nurse make?
