◦ Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test Bank
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Chapter 1hj Concepts and Trends in Healthcare hj hj hj hj
◦ A new nurse is working with a preceptor on an inpatient medical-
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surgical unit. The preceptor advises the student that which is the priority when
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working as a professional nurse? hj hj hj hj
◦ Attending to holistic client needs
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◦ Ensuring client safety hj hj
◦ Not making medication errors
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◦ Providing client- hj
focused care A
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NS: B hj
◦ All actions are appropriate for the professional nurse. However, ensuri
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ng client safety is the priority. Up to 98,000 deaths result each year from errors in
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hospital care, according to the 2000 Institute of Medicine report. Many more clients ha
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ve suffered injuries and less serious outcomes. Every nurse has the responsibility to gu
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,ard the clients safety.
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◦ DIF: Understanding/Comprehension REF: 2 hj hj hj hj
KEY: Patient safety MSC: Integrated Process: Nursing Proc
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ess: Intervention
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◦ NOT: Client Needs Category: Safe and Effective Care hj hj hj hj hj hj hj hj
Environment: Safety and Infection Control hj hj hj hj
◦ A nurse is orienting a new client and family to the inpatient unit. What infor
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mation does the nurse provide to help the client promote his or her own safet
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y?
◦ Encourage the client and family to be active partners.
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◦ Have the client monitor hand hygiene in caregivers.
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◦ Offer the family the opportunity to stay with the client.
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◦Tell the client to always wear his or
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her armband. ANS: A
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◦ Each action could be important for the client or family to perform. H
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owever, encouraging the client to be active in his or her health care as a partner is th
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e most critical. The other actions are
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◦
◦ very limited in scope and do not provide the broad protection that
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being active and involved does.
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◦ DIF: Understanding/Comprehension REF: 3 hj hj hj hj
KEY: Patient safety MSC: Integrated Process: Teaching/ Le
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arning
◦ NOT: Client Needs Category: Safe and Effective Care hj hj hj hj hj hj hj
,Environment: Safety and Infection Control hj hj hj hj
◦ A nurse is caring for a postoperative client on the surgical unit. The clients blood
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pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What act
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ion by the nurse is best?
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◦ Call the Rapid Response Team.
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◦ Document and continue to monitor. hj hj hj hj
◦ Notify the primary care provider. hj hj hj hj
◦
Repeat blood pressure measurement hj hj hj hj
in 15 minutes. ANS: A hj hj hj hj
◦ The purpose of the Rapid Response Team (RRT) is to intervene when cl hj hj hj hj hj hj hj hj hj hj hj hj
ients are deteriorating before they suffer either respiratory or cardiac arrest. Since the cl
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ient has manifested a significant change, the nurse should call the RRT. Changes in blo
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od pressure, mental status, heart rate, and pain are particularly significant. Documentati
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on is vital, but the nurse must do more than document. The primary care provider shoul
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d be notified, but this is not the priority over calling the RRT. The clients blood pres
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sure should be reassessed frequently, but the priority is getting
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the rapid care to the client. hj hj hj hj hj
◦ DIF: Applying/Application REF: 3
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◦ KEY: Rapid Response Team (RRT)| hj hj hj hj h
medical emergencies MSC: Integrated Process:
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Communication and Documentation hj hj
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation hj hj hj hj hj hj hj
◦
◦ A nurse wishes to provide client- hj hj hj hj hj
centered care in all interactions. Which action by the nurse best demonst
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rates this concept? hj hj
◦ Assesses for cultural influences affecting health care hj hj hj hj hj hj
◦ Ensures that all the clients basic needs are met
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◦ Tells the client and family about all upcoming tests
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◦
Thoroughly orients the client and hj hj hj hj h
family to the room ANS: A
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◦ Competency in client- hj hj
focused care is demonstrated when the nurse focuses on communication, culture, r
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espect, compassion, client education, and empowerment. By assessing the effect of
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the
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◦
◦ clients culture on health care, this nurse is practicing client- hj hj hj hj hj hj hj hj hj
focused care. Providing for basic needs does not demonstrate this competence. Simpl
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y telling the client about all upcoming tests is not providing empowering education. O
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rienting the client and family to the room is an important safety measure, but not direc
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tly related to demonstrating client-centered care.
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◦ DIF: Understanding/Comprehension REF: 3
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, ◦ KEY: Patient- hj
centered care| culture MSC: Integrated Process: Caring N
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OT: Client Needs Category:
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Psychosocial Integrity hj
◦ A client is going to be admitted for a scheduled surgical procedure. Which
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action does the nurse explain is the most important thing the client can do
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to protect against errors?
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◦ Bring a list of all medications and what they are for.
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◦ Keep the doctors phone number by the telephone.
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◦ Make sure all providers wash hands before entering the room.
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◦
Write down the name of each caregiver who hj hj hj hj hj hj hj h
comes in the room. ANS: A j hj hj hj hj hj
◦ Medication errors are the most common type of health care mistake. T hj hj hj hj hj hj hj hj hj hj hj
he Joint Commissions Speak Up campaign encourages clients to help ensure their safe
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ty. One recommendation is for clients to know all their medications and why they take
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them. This will help prevent medication errors.
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◦ DIF: Applying/Application REF: 4
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◦ KEY: Speak Up campaign| patient safety MSC: Integrated Pro hj hj hj hj hj hj hj hj
cess: Teaching/Learning NOT: Client Needs Category: Safe and Effective Car
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e Environment: Safety and Infection Control
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◦ Which action by the nurse working with a client best demonstrates respect for
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autonomy?
◦ Asks if the client has questions before signing a consent
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◦ Gives the client accurate information when questioned
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◦ Keeps the promises made to the client and family
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Treats the client fairly co ◦ hj hj hj hj
mpared to other clients A hj hj hj hj
NS: A hj
◦ Autonomy is self- hj hj
determination. The client should make decisions regarding care. When the nurse obtain
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s a signature on the consent form, assessing if the client still has questions is vital, be
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cause without full information the client cannot practice autonomy. Giving accurate inf
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ormation is practicing with veracity. Keeping promises is upholding fidelity. Treating t
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he
◦
◦ client fairly is providing social justice.
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◦
◦ DIF: Applying/Application REF: 4
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◦ KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
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◦ NOT: Client Needs Category: Safe and Effective Care Environment: Management
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of Care hj
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Chapter 1hj Concepts and Trends in Healthcare hj hj hj hj
◦ A new nurse is working with a preceptor on an inpatient medical-
hj hj hj hj hj hj hj hj hj hj hj
surgical unit. The preceptor advises the student that which is the priority when
hj hj hj hj hj hj hj hj hj hj hj hj hj
working as a professional nurse? hj hj hj hj
◦ Attending to holistic client needs
hj hj hj hj
◦ Ensuring client safety hj hj
◦ Not making medication errors
hj hj hj
◦ Providing client- hj
focused care A
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NS: B hj
◦ All actions are appropriate for the professional nurse. However, ensuri
hj hj hj hj hj hj hj hj h j
ng client safety is the priority. Up to 98,000 deaths result each year from errors in
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hospital care, according to the 2000 Institute of Medicine report. Many more clients ha
j hj hj hj hj hj hj hj hj hj hj hj hj hj
ve suffered injuries and less serious outcomes. Every nurse has the responsibility to gu
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,ard the clients safety.
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◦ DIF: Understanding/Comprehension REF: 2 hj hj hj hj
KEY: Patient safety MSC: Integrated Process: Nursing Proc
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ess: Intervention
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◦ NOT: Client Needs Category: Safe and Effective Care hj hj hj hj hj hj hj hj
Environment: Safety and Infection Control hj hj hj hj
◦ A nurse is orienting a new client and family to the inpatient unit. What infor
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mation does the nurse provide to help the client promote his or her own safet
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
y?
◦ Encourage the client and family to be active partners.
hj hj hj hj hj hj hj hj
◦ Have the client monitor hand hygiene in caregivers.
hj hj hj hj hj hj hj
◦ Offer the family the opportunity to stay with the client.
hj hj hj hj hj hj hj hj hj
◦Tell the client to always wear his or
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her armband. ANS: A
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◦ Each action could be important for the client or family to perform. H
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owever, encouraging the client to be active in his or her health care as a partner is th
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
e most critical. The other actions are
hj hj hj hj hj hj
◦
◦ very limited in scope and do not provide the broad protection that
hj hj hj hj hj hj hj hj hj hj hj hj
being active and involved does.
hj hj hj hj
◦ DIF: Understanding/Comprehension REF: 3 hj hj hj hj
KEY: Patient safety MSC: Integrated Process: Teaching/ Le
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arning
◦ NOT: Client Needs Category: Safe and Effective Care hj hj hj hj hj hj hj
,Environment: Safety and Infection Control hj hj hj hj
◦ A nurse is caring for a postoperative client on the surgical unit. The clients blood
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What act
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ion by the nurse is best?
hj hj hj hj hj
◦ Call the Rapid Response Team.
hj hj hj hj
◦ Document and continue to monitor. hj hj hj hj
◦ Notify the primary care provider. hj hj hj hj
◦
Repeat blood pressure measurement hj hj hj hj
in 15 minutes. ANS: A hj hj hj hj
◦ The purpose of the Rapid Response Team (RRT) is to intervene when cl hj hj hj hj hj hj hj hj hj hj hj hj
ients are deteriorating before they suffer either respiratory or cardiac arrest. Since the cl
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ient has manifested a significant change, the nurse should call the RRT. Changes in blo
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od pressure, mental status, heart rate, and pain are particularly significant. Documentati
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on is vital, but the nurse must do more than document. The primary care provider shoul
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
d be notified, but this is not the priority over calling the RRT. The clients blood pres
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sure should be reassessed frequently, but the priority is getting
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the rapid care to the client. hj hj hj hj hj
◦ DIF: Applying/Application REF: 3
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◦ KEY: Rapid Response Team (RRT)| hj hj hj hj h
medical emergencies MSC: Integrated Process:
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Communication and Documentation hj hj
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation hj hj hj hj hj hj hj
◦
◦ A nurse wishes to provide client- hj hj hj hj hj
centered care in all interactions. Which action by the nurse best demonst
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rates this concept? hj hj
◦ Assesses for cultural influences affecting health care hj hj hj hj hj hj
◦ Ensures that all the clients basic needs are met
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◦ Tells the client and family about all upcoming tests
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◦
Thoroughly orients the client and hj hj hj hj h
family to the room ANS: A
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◦ Competency in client- hj hj
focused care is demonstrated when the nurse focuses on communication, culture, r
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espect, compassion, client education, and empowerment. By assessing the effect of
hj hj hj hj hj hj hj hj hj hj
the
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◦
◦ clients culture on health care, this nurse is practicing client- hj hj hj hj hj hj hj hj hj
focused care. Providing for basic needs does not demonstrate this competence. Simpl
hj hj hj hj h j hj hj hj hj hj hj
y telling the client about all upcoming tests is not providing empowering education. O
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rienting the client and family to the room is an important safety measure, but not direc
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tly related to demonstrating client-centered care.
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◦ DIF: Understanding/Comprehension REF: 3
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, ◦ KEY: Patient- hj
centered care| culture MSC: Integrated Process: Caring N
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OT: Client Needs Category:
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Psychosocial Integrity hj
◦ A client is going to be admitted for a scheduled surgical procedure. Which
hj hj hj hj hj hj hj hj hj hj hj hj hj
action does the nurse explain is the most important thing the client can do
hj hj hj hj hj hj hj hj hj hj hj hj hj h j
to protect against errors?
hj hj hj
◦ Bring a list of all medications and what they are for.
hj hj hj hj hj hj hj hj hj hj
◦ Keep the doctors phone number by the telephone.
hj hj hj hj hj hj hj
◦ Make sure all providers wash hands before entering the room.
hj hj hj hj hj hj hj hj h j
◦
Write down the name of each caregiver who hj hj hj hj hj hj hj h
comes in the room. ANS: A j hj hj hj hj hj
◦ Medication errors are the most common type of health care mistake. T hj hj hj hj hj hj hj hj hj hj hj
he Joint Commissions Speak Up campaign encourages clients to help ensure their safe
hj hj hj hj hj hj hj hj hj hj hj hj
ty. One recommendation is for clients to know all their medications and why they take
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
them. This will help prevent medication errors.
hj hj hj hj hj hj hj
◦ DIF: Applying/Application REF: 4
hj hj hj
◦ KEY: Speak Up campaign| patient safety MSC: Integrated Pro hj hj hj hj hj hj hj hj
cess: Teaching/Learning NOT: Client Needs Category: Safe and Effective Car
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e Environment: Safety and Infection Control
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◦ Which action by the nurse working with a client best demonstrates respect for
hj hj hj hj hj hj hj hj hj hj hj hj h j
autonomy?
◦ Asks if the client has questions before signing a consent
hj hj hj hj hj hj hj hj hj
◦ Gives the client accurate information when questioned
hj hj hj hj hj hj
◦ Keeps the promises made to the client and family
hj hj hj hj hj hj hj hj
Treats the client fairly co ◦ hj hj hj hj
mpared to other clients A hj hj hj hj
NS: A hj
◦ Autonomy is self- hj hj
determination. The client should make decisions regarding care. When the nurse obtain
hj hj hj hj hj hj hj hj hj hj hj
s a signature on the consent form, assessing if the client still has questions is vital, be
hj hj hj hj hj hj hj hj h j hj hj hj hj hj hj hj
cause without full information the client cannot practice autonomy. Giving accurate inf
hj hj hj hj hj hj hj hj hj hj hj
ormation is practicing with veracity. Keeping promises is upholding fidelity. Treating t
hj hj hj hj hj hj hj hj hj hj hj
he
◦
◦ client fairly is providing social justice.
hj hj hj hj hj
◦
◦ DIF: Applying/Application REF: 4
hj hj hj
◦ KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
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◦ NOT: Client Needs Category: Safe and Effective Care Environment: Management
hj hj hj hj hj hj hj hj hj
of Care hj
