A nurse is teaching a newly licensed nurse about do-not-resuscitate (DNR) prescriptions. Which of the following information should the nurse include in the teaching?
The provider decides whether a client should have a DNR.
The provider will discontinue the client's medications after writing a DNR.
The client will need to sign an informed consent form for CPR if they do not have a DNR.
The provider should periodically evaluate the DNR.
The Correct Answer is D
Rationale:
A. This option is incorrect because the decision to have a DNR is made by the client or their legally authorized representative, not solely by the provider. The provider’s role is to discuss options, document the client’s wishes, and write the DNR order.
B. This option is incorrect because a DNR order does not mean the provider will discontinue the client’s medications. A DNR only specifies that cardiopulmonary resuscitation (CPR) should not be performed in the event of cardiac or respiratory arrest; all other medical treatments continue as appropriate.
C. This option is incorrect because the client does not need to sign a separate consent form for CPR if a DNR is not in place. CPR is the default standard of care unless a DNR order is documented.
D. This option is correct because the provider should periodically evaluate the DNR order to ensure it still aligns with the client’s wishes and current health status. Regular review allows for updates if the client’s condition, preferences, or advance directives change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This option is correct because a private office with the door closed provides a confidential and controlled environment for performance appraisals. Confidentiality is essential during these discussions because appraisals often involve sensitive feedback about job performance, areas for improvement, and career development. A private setting minimizes distractions and interruptions, allowing the staff member to feel safe and respected, which encourages honest dialogue and open communication. This environment also demonstrates professionalism and respect for the staff member’s dignity.
B. This option is incorrect because conducting appraisals near the nurses’ station risks breaches of confidentiality. Conversations could be overheard by other staff, which may make the employee reluctant to discuss challenges, concerns, or development needs honestly. This lack of privacy can undermine the effectiveness of the appraisal process.
C. This option is incorrect because having a witness present is usually unnecessary for routine annual performance appraisals. Witnesses are generally only required in cases of disputes, disciplinary actions, or legal considerations. Including a witness in a standard appraisal could make the staff member feel anxious and less forthcoming, reducing the quality of the feedback exchange.
D. This option is incorrect because sitting behind a large desk can create a psychological barrier between the nurse manager and the staff member, fostering a sense of hierarchy and intimidation. This arrangement may discourage open communication and hinder productive discussion. A collaborative seating arrangement in a private office is preferable to promote engagement and mutual respect.
Correct Answer is C
Explanation
Rationale:
A. This option is incorrect because requiring attendance at an in-service provides additional instruction but does not evaluate whether the assistive personnel understands and can correctly perform the mechanical lift transfer after the teaching has been reinforced.
B. This option is incorrect because assigning the assistive personnel to work with a senior staff member offers supervision and support, but it does not assess the AP’s independent understanding or ability to safely use the lift on their own.
C. This option is correct because observing the assistive personnel’s technique with the mechanical lift at random times allows the nurse manager to directly evaluate understanding, skill retention, and consistent correct performance in actual practice. Direct observation is the most effective way to assess psychomotor competency.
D. This option is incorrect because completing skills modules reinforces knowledge but does not demonstrate the AP’s ability to apply the teaching correctly during real client transfers.
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