Exam Questions and Answers 100%
Solved
Advance directives- teaching - ✔✔Communicates the client wishes
regarding end of life care; are written before a client becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced
directives
Culture (client who speaks a different language) - ✔✔Use an interpreter
always; try to get someone around same age and gender as client
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Delegation to UAP - ✔✔Stable/chronic clients; post-mortem care; they
cannot teach, assessed, or evaluate
Ethical (client need for information about treatment) - ✔✔Provide client with
truthful information so they can make an informed decision about their own
health and well-being
Discharge planning - ✔✔Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
Informed consent - ✔✔Nurses role is to witness the client signature and
ensure that the provider has obtained the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent
they have the right to sign the consent form
Client inquiry about surgery - ✔✔Consult health care provider/surgeon for
procedures/informed consent questions
Telephone prescriptions are - ✔✔Must write the order down before reading
it back to the provider
Identify Improper documentation - ✔✔Documenting should be factual
Subjective data documentation - ✔✔Quotes with quotation marks- what the
client states to the nurse
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, Objective data documentation - ✔✔What the nurses, smells, osculates do
not use derogatory words, judgment, or opinions
Intentional tort - ✔✔Doing harm (The act must be intentional, not merely
reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult - ✔✔PT- consulted for mobility
issues
OT- assist clients to regain ADL skills
ST- Deals with speech and language disorders
Coordinated client care among healthcare team - ✔✔Social worker-
Coordinates care and community resources
Demonstrating client advocacy - ✔✔Nurses role is to provide support of the
clients health, wellness, safety, and personal rights, including privacy
Nursing role- client observation - ✔✔Share appropriate information among
team members
Prioritizing client care - ✔✔Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.