PN Comprehensive Predictor 2017 Remediation.

Kelly Dinh 11/21/19 Professor Neal PN Comprehensive Predictor 2017 Topic Facts Professional Responsibilities: evaluating client understanding of advance directives and health care proxy - A durable power of attor ...

Kelly Dinh 11/21/19 Professor Neal 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 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 reassignment of a client - Assigning is performed in a downward 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 interprofessional team - Nurse‑provider collaboration should 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