Which statement is true concerning advanced directives?
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status.
The document means nothing to the nurse because the attending physician will decide the client's care.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates.
The Correct Answer is C
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status: This statement is partially correct. Advanced directives may include naming a healthcare proxy or DPOAHC, but their decisions are typically in line with the client's expressed wishes, especially if those wishes are documented in the advanced directive.
The document means nothing to the nurse because the attending physician will decide the client's care: This statement is incorrect. Advanced directives are legally binding documents that guide medical decisions when the client is unable to communicate or make decisions.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated: This statement is true. Advanced directives empower clients to make decisions about their healthcare preferences, including the desire for life-sustaining measures, in the event they become unable to communicate their wishes.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates: This statement is incorrect. The nurse should always follow appropriate protocols and initiate necessary interventions regardless of the presence of advanced directives, especially if the client's condition deteriorates.
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Related Questions
Correct Answer is B
Explanation
They are not used extensively in high-level nursing research: This statement is not accurate. Middle-range nursing theories are frequently used in nursing research, especially in studies focusing on specific areas or phenomena within nursing. Researchers often apply middle-range theories to guide their studies and develop hypotheses, making them an essential part of high-level nursing research.
They form the foundation for the current evidence-based practice movement: This statement is accurate. Middle-range nursing theories provide the framework for evidence-based practice. They offer specific concepts and relationships that guide research and practice. By using these theories as a foundation, nurses can integrate research findings into their practice, leading to evidence-based care.
They do not focus on abstract concepts: This statement is partially accurate. Middle-range nursing theories focus on specific concepts related to a particular aspect of nursing care. While they may not be as abstract as grand theories, they are not entirely devoid of abstract concepts. Middle-range theories still involve theoretical and conceptual thinking, albeit in a more focused and specific manner.
They are often developed into major nursing theories: This statement is not accurate. Middle-range nursing theories are distinct from major nursing theories. Major nursing theories, often referred to as grand theories, are more comprehensive and abstract, attempting to explain the overall phenomenon of nursing. Middle-range theories, on the other hand, focus on narrower aspects of nursing practice and are not typically developed into grand theories.
Correct Answer is B
Explanation
A) Establishes the physician as the primary and sole source of authority during codes:
This statement is incorrect. The SBAR system does not establish the physician as the sole authority. It's a communication tool designed to enhance collaboration and understanding between healthcare professionals, ensuring effective communication during critical situations.
B) Reduces confusion in the communication between nurse and physician:
This statement is correct. One of the primary roles of the SBAR system is to reduce confusion and enhance the clarity of communication between nurses and physicians. By providing a structured framework (Situation, Background, Assessment, Recommendation), it ensures that crucial information is communicated clearly and effectively, especially during critical situations.
C) Aids nurses in independent practice when necessary:
This statement is partially correct. While the SBAR system aids in communication, it does not specifically address independent practice. It focuses on improving interprofessional communication, which is essential for collaborative care.
D) Reduces the number of lawsuits associated with the care of critically ill clients:
This statement is incorrect. While clear communication can contribute to better patient outcomes and potentially reduce the risk of errors, the SBAR system itself does not directly impact the number of lawsuits. Lawsuits are influenced by various factors, including the quality of care, documentation, and adherence to established protocols.
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