PN Comprehensive Predictor 2017
Topic Facts
Professional Responsibilities: evaluating
client understanding of advance directives and
health care proxy
- A durable power of attorney for health
care/health care proxy is a legal
document that designates a health care
surrogate, who is an indiv...
Professional Responsibilities: evaluating - A durable power of attorney for health
client understanding of advance directives and care/health care proxy is a legal
health care proxy document that designates a health care
surrogate, who is an individual
authorized to make health care
decisions for a client who is unable to.
- The person who serves the role of the
health care surrogate will make
decisions for the client and should be
very familiar with the client’s wishes.
- Living wills can be difficult to
interpret, especially in the face of
unexpected circumstances. A durable
power of attorney for health care, as
an adjunct to a living will, can be a
more effective way of ensuring that
the client’s decisions about health care
are honored.
Legal responsibilities: client advocacy - Understanding the laws governing
nursing practice helps nurses protect
clients’ rights and reduce the risk of
nursing liability.
- Nurses are accountable for protecting
the rights of clients. Examples include
informed consent, refusal of treatment,
advance directives, confidentiality,
and information security.
- Nurses must ensure that clients
understand their rights, and must
, protect their clients’ rights.
Managing client care: requesting - Assigning is performed in a downward
reassignment of a client or lateral manner with regard to
members of the health care team.
- The five major management functions
are planning, organizing, staffing,
directing, and controlling.
- The 5 rights of delegation: right task,
circumstance, person, direction and
communication.
Protecting the rights of a dying client - Nurses are accountable for protecting
the rights of clients. Situations that
require particular attention include
informed consent, refusal of treatment,
advance directives, confidentiality,
and information security.
- Nurses must ensure that clients
understand their rights. Nurses also
must protect clients’ rights during
nursing care.
- Regardless of the client’s age, nursing
needs, or the setting in which care is
provided, the basic tenants are the
same.
Bulimia Nervosa - Pt demonstrates high interest in
preparing food, but not eating.
- Binge eating and inappropriate
compensatory behaviors both occur on
average of once per week for 3
months.
- Most pts who have bulimia nervosa
maintain a weight within the normal
range or slightly higher.
Reporting client care issues to an - Nurse‑provider collaboration should
interprofessional team be fostered to create a climate of
, mutual respect and collaborative
practice.
- Collaboration occurs among different
levels of nurses and nurses with
different areas of expertise.
- Collaboration should also occur
between the interprofessional team,
the client, and the client’s
family/significant others when an
interprofessional plan of care is being
developed.
Managing client care: initial assessment - Give priority to clients who have a
reasonable chance of survival with
prompt intervention. Clients who have
a limited likelihood of survival even
with intense intervention are assigned
the lowest priority.
- Use this framework for situations in
which health resources are extremely
limited (mass casualty, disaster triage).
- Look first for a safety risk. For
example, is there a finding that
suggests a risk for airway obstruction,
hypoxia, bleeding, infection, or
injury?
Recommendations for time management - Nurses must continuously set and reset
priorities in order to meet the needs of
multiple clients and to maintain client
safety.
- Priority setting requires that decisions
be made regarding the order in which;
- Clients are seen.
- Assessments are completed.
- Interventions are provided.
- Steps in a client procedure are
completed.
- Components of client care are
completed.
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