Exam ||Latest Exam Update 2025-
2026||Already Graded A+
Advance directives- teaching -Answer 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) -Answer Use an interpreter always;
try to get someone around same age and gender as client
Delegation to UAP -Answer Stable/chronic clients; post-mortem care; they cannot
teach, assessed, or evaluate
Ethical (client need for information about treatment) -Answer Provide client with
truthful information so they can make an informed decision about their own health and
well-being
Discharge planning -Answer Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
Informed consent -Answer 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 -Answer Consult health care provider/surgeon for
procedures/informed consent questions
Telephone prescriptions are -Answer Must write the order down before reading it
back to the provider
, Identify Improper documentation -Answer Documenting should be factual
Subjective data documentation -Answer Quotes with quotation marks- what the
client states to the nurse
Objective data documentation -Answer What the nurses, smells, osculates do not
use derogatory words, judgment, or opinions
Intentional tort -Answer Doing harm (The act must be intentional, not merely reckless
or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult -Answer 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 -Answer Social worker- Coordinates
care and community resources
Demonstrating client advocacy -Answer Nurses role is to provide support of the
clients health, wellness, safety, and personal rights, including privacy
Nursing role- client observation -Answer Share appropriate information among team
members
Prioritizing client care -Answer Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
Ethical dilemma -Answer Follow autonomy, beneficence, Fidelity, justice,
nonmaleficence, and veracity principles
Disposition of valuables
(Admit/transfer/DC) -Answer Personal items include clothing, jewelry, money, credit
cards, hearing aides, eyeglasses, dentures, etc
Discourage the client from keeping valuables at bedside
Document communication with the client related to items left within the room
Valuables should be locked in the facilities safe