A nurse manager is participating in the care of a client.
Which of the following client statements indicate an understanding of the teaching?
Select all that apply.
"If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care."
"Once I choose a health care proxy, they will start making my health care decisions."
"I am required to complete these documents during my hospital stay."
"The hospital is legally required to provide me information on these documents."
"When completed, a copy of these documents will be kept in my medical record."
"These documents provide instructions about my care preferences."
Correct Answer : A,D,E,F
A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.
B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.
C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.
D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.
E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.
F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.
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Related Questions
Correct Answer is D
Explanation
A. Provide educational in-services for staff: While staff education is an important component of a quality improvement project, it is not the first action to take. Understanding the underlying factors contributing to MRSA infections should be the priority to ensure that educational initiatives are targeted and relevant.
B. Develop a MRSA protocol for implementation: Developing a protocol is necessary for guiding practice and reducing infections. However, it is essential to first gather data on existing practices and factors contributing to MRSA infections to ensure the protocol addresses specific issues.
C. Evaluate outcomes resulting from interventions: Evaluation of outcomes is a crucial step in the quality improvement process but occurs after implementing interventions. Initial actions should focus on identifying the root causes of MRSA infections before assessing the effectiveness of any interventions.
D. Conduct a chart review to evaluate precipitating factors of clients who develop MRSA: Conducting a chart review is the first action the nurse manager should take. This step allows for the identification of patterns and factors contributing to MRSA infections, providing valuable data that will inform the development of effective protocols and interventions tailored to the facility's needs.
Correct Answer is C
Explanation
A. "Do you spend more time thinking about the past, present, or future?": This question focuses on the client's perspective of time rather than their beliefs about environmental control. While it may provide insight into the client's worldview, it does not directly address how they perceive their ability to influence their health or environment.
B. "Who makes most of the decisions in your family group?": This question may provide some understanding of family dynamics and authority but does not directly assess the client's beliefs regarding their control over their health or environment. It may highlight cultural aspects but lacks a direct connection to environmental control beliefs.
C. "What do you think you can do to affect your health status?": This question directly addresses the client's beliefs about their ability to exert control over their health and environment. It encourages the client to reflect on their agency and the actions they believe they can take to influence their well-being, making it the most relevant choice for assessing environmental control.
D. "Can you list any diseases that your parents or siblings have had?": While understanding the family medical history is important, this question focuses on genetics and familial health rather than the client’s beliefs about their ability to control their environment or health. It does not provide insight into how the client views their role in managing their health.
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