A client with a Do Not Resuscitate/Do Not Intubate order in the medical record becomes unresponsive and a code blue is called. The code team arrives and the physician is preparing to intubate the client. What action should the nurse take regarding the DNR/DNI order?

During client care rounds with the multidisciplinary team, the nurse reports that a client coughs frequently after taking anything by mouth. The dietician recommends a swallow evaluation for the client, in which the physician participating in rounds writes the order. This is an example of:

In the multidisciplinary approach to client care, all members of the health care team have the goal of collaborative client care. Which member of the multidisciplinary team oversees and coordinates the care delivery process and organizes the delivery of health care services to the client?

Studies show that collaboration between the members of a multidisciplinary health care team improves quality of client care, decreases length of stay in health care facilities, and decreases the cost of health care to the client. Which members of the multidisciplinary team are responsible for collaboration in client care?

A client undergoes hip replacement surgery and requires assistance to ambulate. The client needs to use the bathroom, but the call light has been left out of reach rendering the client unable to summon staff for assistance. Which client right is violated?

A client in the intensive care unit is alert and oriented, but loud and verbally abusive to all health care personnel who enter the client’s room. Multiple staff members including the charge nurse have spoken to the client about the inappropriate behavior, but all attempts have been ineffective. The client has lorazepam (Ativan) IV ordered as needed for disorientation and agitation. Which client right would be violated if the nurse were to administer the medication to the client under these circumstances?

A night shift nurse receives shift report from the day shift nurse when the day nurse states, “I have an appointment and I need to leave. Can you get the rest of the clients’ information from the medical records?” Which client right is violated by the day nurse?

A hospital client with abdominal cancer refuses surgical treatment and chemotherapy and asks about options for hospice home care. Later, the client’s daughter asks the case manager to talk the client into agreeing to surgery and chemotherapy treatment. The case manager explains to the daughter that this violates which client right?

A new client tells the admissions nurse at a rehabilitation facility, “No one asked me which rehabilitation facility I preferred. I feel as if this entire process took place without my involvement. I was not informed of alternative options.” Which client right is being violated?

A client’s physician writes the order to “obtain consent for a bronchoscopy and possible lung biopsy.” When the nurse presents the consent form to the client, the client states, “I don’t know what a bronchoscopy is.” Which is the best action by the nurse?

A client with an executed advance directive specifying “do not resuscitate, do not intubate” in the medical record becomes unresponsive during a bed bath, at which time the nursing assistant activates the hospital code blue system. The client’s primary nurse arrives quickly at the bedside to find the nursing assistant performing cardiopulmonary resuscitation as the code team enters the client’s room. Which action by the nurse is most important in protecting the client’s right to self-determination?

A prison inmate is brought to the emergency department with complaints of chest pressure that radiates up the jaw and down the left arm. The nurse overhears another employee speaking rudely to the inmate client. Acting as the client’s advocate, the nurse tells the employee privately that all clients are to be treated with equal respect and dignity. Which client right has the nurse protected?

The nurse notices that a client’s bedside privacy curtain has been left partially open during the client’s bath. Which is the best action for the nurse to take to ensure the client’s right to privacy?

There are multiple theories of management utilized in nursing. Management theories generally fall under one of two distinctly different and opposing schools of thought with regard to the management of people. What are the two current prevailing theories of modern management?

A client’s surgeon discusses the option of surgery and related benefits and risks with the client and the client’s family. Which statement by the client demonstrates the client understands the right to make decisions regarding treatment and the proposed plan of care?

Two health care personnel are talking about a client by name in the facility elevator. The conversation is overheard by visitors in the same elevator. Which client right is violated?

Case managers use clinical pathways in the process of evaluating and coordinating client care with the multidisciplinary team. A clinical pathway is:

A client’s primary physician writes an order to prepare the client for discharge from the hospital the next day. The client expresses concern to the nurse about the ability to provide self-care and perform daily activities of living after arriving home from the hospital. Which member of the health care team should the nurse contact to provide information and assist the client with resources for an effective discharge plan?

The nurse knows that the case management model of client care is:

The nurse case manager knows case management is an example of which client care model?

The nurse knows that case management is:

An elderly client from a long-term care facility arrives in the emergency department by ambulance with altered level of consciousness. The physician instructs the respiratory therapist to prepare for intubation. The nurse discovers a Do Not Resuscitate (DNR) bracelet on the client’s wrist during the initial assessment. Which immediate action should the nurse take to appropriately advocate for this client?

An intubated client admitted to the intensive care unit appears anxious and fearful of the equipment in the room. The nurse observes this and takes the time to explain each piece of equipment and its role in providing care to the client. This is an example of the nurse acting as a client advocate by:

It is the nurse’s responsibility to act as client advocate. What is the definition of client advocacy?

A nurse is taking a client’s medical history in the emergency room. The nurse asks if the client has an advance directive. The client responds by saying,” I have heard of advance directives, but I do not have one. What is an advance directive?” What is the nurse’s best response to the client’s question?

A client presents a Durable Power of Attorney for Health Care designating the client’s niece as the person to make health care decisions for the client should the client become incapacitated and unable to make informed health care decisions. The Durable Power of Attorney identifies the niece as the:

A client asks to view the client’s medical records. Which response made by the nurse is most appropriate?

The physician has ordered a central IV line insertion and requested the nurse to prepare the client and set up for the procedure. The nurse has not assisted with a central line insertion before and asks the charge nurse for advice and assistance. Which response by the charge nurse indicates that the charge nurse practices the transitional style of management?

The client’s physician orders a blood transfusion for a client whose hemoglobin level is 5.0 mg/dL. The nurse informs the client that blood will be drawn for a type and cross-match prior to the blood transfusion. The client avoids eye contact with the nurse, then states,” I am a Jehovah’s Witness. I thought that was on my chart.” The nurse demonstrates the role of client advocate by which response to the client?

The Patient Self-Determination Act of 1990 mandates that all clients must be asked whether or not they have a(n):