While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Meet with nursing staff to review the policy regarding advance directives.

Reinforce the potential consequences of not having this information on record to the nursing staff.

Ask nurses who are caring for clients without this information in the medical record to obtain it.

Remind nurses to obtain this information during the admission process.

Answer and Explanation

The Correct Answer is A

A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.

B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.

C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.

D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.

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Correct Answer is A

Explanation

A. The research participant must provide informed consent to enroll in a study, as it is their right to understand and agree to the terms of participation voluntarily.

B. The risk manager does not provide informed consent; their role is to assess and mitigate risks associated with the study.

C. The institutional review board (IRB) oversees the ethical aspects of the study but does not obtain informed consent from participants.

D. The chair of the ethics committee is involved in ethical considerations but does not directly obtain informed consent from participants in a research study.

A. Good Samaritan Act B. Nonmaleficence C. Living will D. Implied consent

Correct Answer is D

Explanation

A. The Good Samaritan Act provides legal protection to individuals who assist those who are injured or in danger but does not specifically apply to emergency medical procedures performed by healthcare providers.

B. Nonmaleficence refers to the ethical principle of doing no harm, which supports the need for treatment but does not provide the legal basis for proceeding without consent.

C. A living will outlines a person's wishes regarding medical treatment in the event they become unable to communicate, but it does not specifically grant permission for emergency surgery when the individual is unconscious.

D. Implied consent is applicable in emergency situations where the patient is unable to give consent, and it is assumed that they would consent to necessary life-saving procedures, such as emergency surgery.

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

Explanation

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?