Tell the Correct Answer for Patient Self-Determination Act Flashcards

Kaplan Nursing NCLEX Study 

208 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Advance directive. The nurse knows that the requirement to provide clients with this type of information can be found in which of the following?
  1. The Patient Self-Determination Act
  2. Nursing Scope and Standards of Practice
  3. The Patient Protection and Affordable Care Act
  4. The Patients' Bill of Rights
Answer: 1 Patient Self-Determination Act
A 14 year old girl newly diagnosed with diabetes is preparing for discharge. Which of the following activities BEST describes the nurse's role as a client advocate?
  1. Arranging for a visit with a home health nurse
  2. Providing written medication instructions to the client's parents
  3. Instructing the client to follow up wither her provider in 4 weeks
  4. Teaching the client how to administer insulin injections
Answer: 4
  • Advocacy
  • Teaching the client how to administer her own medication is the best example of the nurse's role as a client advocate, because this action directly helps the client develop self-advocacy skills
The nurse knows the client has the right to read and copy his medical records, and that this is guaranteed by virtue of which of the following?
  1. The Code of Ethics for Nurses
  2. The Health Insurance Portability and Accountability Act (HIPAA)
  3. The Patient Self-Determination Act
  4. The Americans with Disabilities Act
Answer: 2
  • Client Rights
  • HIPAA protects the patient's right to review, copy, and request ammendments to his medical records
After receiving report at the start of evening shift, which of the following clients should the nurse attend to FIRST?
  1. 34 y.o. man undergoing treatment for Non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L
  2. 21 y.o. woman with sickle-cell anemia with pain of 6 on a scale of 1-10
  3. 55 y.o. woman with ovarian cancer waiting to be discharged
  4. 72 y.o. man with COPD and a pulse oximetry of 96% on room air
Answer: 1
  • Establishing Priorities
  • HYPERkalemia is a potentially serious condition
34 year old woman who developed Stevens-Johnson syndrome while undergoing treatment with carbamazepine (Tegretol) is being transferred in stable condition from the intensive care unit to the medical unit. The nurse knows the BEST choice of roommates for this client is which of the following?
  1. 40 y.o. man with MRSA
  2. 28 y.o. woman diagnosed with diarrhea
  3. 72 y.o. man with fever of unknown origin
  4. 68 y.o. woman with a fib
Answer: 4
  • Concepts of Management
  • A client with Stevens-Johnson syndrome is likely to have severe skin integrity issues, including blistering and skin shedding, which can place the client at high risk for infection.
The nurse knows that the the goals of case management include which of the following? SATA
  1. Improving the coordination of care
  2. Increasing referrals to local organizations
  3. Reducing the fragmentation of care
  4. Discharging clients quickly
Answer: 1&3
  • Case Management
  • One of the primary goals of case management is to improve the coordination of care
    • One of the primary goals of case management is to reduce fragmentation of care
The nurse, case manager, physician, and social worker meet to discuss the plan of care. The nurse knows this type of interdisciplinary interaction BEST referred to as which of the following?
  1. Case management
  2. Collaboration
  3. Cooperation
  4. Collegiality
Answer: 2
  • Collaboration with interdisciplinary team
  • Collaboration
As the client is being prepped for the procedure, it becomes clear to the nurse that the client doesn't fully understand the risks and benefits associated with the procedure. Which of the following describe the nurse's role in obtaining informed consent? SATA
  1. Explain the risk and benefits associated with the procedure
  2. Describe alternatives to the procedure
  3. Witness the client's signature on the consent form
  4. Advocate for the client by ensuring she is making an informed decision
Answer: 3&4
  • Informed Consent
  • One of the nurse's roles in the informed consent process is to witness the signature on the consent form
  • Another one of the nurse's roles in the informed consent process is to advocate for the client by ensuring she has been provided the necessary information to make an informed decision
  • 1&2 = physician's duty
The nurse noticed an increase in the prevalence of pressure ulcers among clients in an intensive care unit. She documented her findings and worked with her manager to develop and implement a new policy using a pressure ulcer risk assessment scale. Which of the following BEST describes the nurse's actions?
  1. Quality improvement
  2. Collaboration
  3. Advocacy
  4. Case management
Answer: 1
  • Performance Improvement (Quality Improvement)
  • Quality improvement includes activities such as identifying opportunities and developing policies for improving the quality of nursing practice.
The nurse is working on a surgical unit. Which of the following tasks would be appropriate for the nurse to delegate to nursing assistive personnel (NAP)
  1. Assist a new postoperative client to the bathroom
  2. Set up the clients' lunch trays
  3. Change a central line dressing
  4. Teach a client how to administer discharge medications
Answer: 2
  • Delegation
  • 1&3 - RN or LPN
  • 4 - RN or pharmacist
The nurse knows that which of the following are the BEST sources to refer to for information related to her scope of practice? SATA
  1. Hospital and unit policies and procedures
  2. Nurse Practice Act
  3. Ordering physician
  4. Hospital pharmacist
Answer: 1&2
  • Legal rights and responsibilities
  • May outline specific information about who can administer which drugs by what route
  • Nurse Practice Acts are laws in each state that define the scope of practice for nursing
Electronic medication administration record has the potential to do which of the following? SATA
  1. Reduce medication administration errors
  2. Improve access to information at the point of care
  3. Eliminate the need for the nurse to document medication administration
  4. Eliminate the need for the nurse to verify dose calculations
Answer: 1&2
  • Information Technology
  • Reduce medication errors
  • Improve access to client information at the point of care
The nurse is preparing to transfer a client to the operating room. She knows that adhering to the hospital policy for client handoffs BEST ensures which of the following?
  1. Case management
  2. Continuity of care
  3. Confidentiality protection
  4. Collaboration
Answer: 2
  • Continuity of Care
  • Improving handoff communication allows each caregiver to communicate completely, effectively, and consistently as the client transitions to different departments in the hospital
The nurse is preparing to perform an admission assessment on a 28 year old man being admitted for Crohn's disease. The nurse knows that according to the Patients' Bill of Rights, the client is responsible for which of the following? SATA
  1. Consenting to treatment
  2. Providing information about the medications
  3. Providing proof of insurance
  4. Providing information about past illnesses
Answer: 2&4
  • Client Rights
Which of the following is an activity that falls within the scope of practice of an LPN?
  1. Administer oral medications
  2. Collaborate with social services to develop a discharge plan
  3. Formulate a nursing diagnosis
  4. Develop a policy
Answer: 1
  • Supervision
  • 2,3,&4 is under RN scope of practice