Chapter 2: Coordinating client care

Question 1

What are client rights?

Answer 1

Legal guarantees that clients have with regard to their health care.

Residents in nursing facilities retain resident’s right

Question 2

Who is rescissible for protecting client rights?

When should they intervene?

Answer 2

Nurses are accountable for protecting the rights of clients.

Informed consent
Refusal of treatment
Advance directives
Confidentiality
Information security

Question 3

What is the Patient Self-Determination Act (PSDA)?

Answer 3

states that on admission to a healthcare facility, all clients must be informed of their right to accept or refuse care

Question 4

What is advocacy?

Answer 4

Nurses role in supporting client by ensuring that they are properly informed, that their rights are respected, and that they are receiving the proper level of care

Question 5

A legal process by which a client has given written permission for a procedure or treatment to be performed is known as?

Answer 5

Informed Consent

Question 6

When is a consent considered to be informed?

Answer 6

When a client is provided an understands

1.Reason for treatment
2. How the treatment or procedure will benefit the client
3. Risk involved if the client choose to receive the treatment or procedure
4. Other options to treat the problem, include the option of not treating the problem
5. Risk involved if the client choose not treatment

Question 7

Informed consent is the responsibility of?

Answer 7

the provider

Question 8

In order to give an informed consent the client must?

Answer 8

-give it voluntarily
-be competent and legal age (18+) or emancipated minor. (if the client is unable to provide consent an authorized person may)
-Receive sufficient information to make decision based on an informed understanding of what is expected

Question 9

Who witnesses a informed consent?

Answer 9

the nurse

Question 10

What are advance directives?

Answer 10

communicate a client’s wishes regarding EOL care should the client be unable to do so.

Question 11

What act requires that all client’s admitted to a health care facility be asked if they have advance directives

Answer 11

PSDA

Question 12

A client states that they are DNR but do not have a written prescription present. Later that night they code but the nurse remembers that the client stated their DNR. What should the nurse do next?

Answer 12

Initiate CPR when the client has no pulse or respirations

Question 13

What is the nursing role in advance directives?

Answer 13

1. Providing written information regarding advance directives.
2. Documenting the client’s advance directives status
3. Ensuring that advance directives are current and reflective of the client’s current decisions
   4.Recognizing that the client’s choice takes priority when there is a conflict between the client and family, or between the client and the provider
4. Informing all members of the health care team of the client’s advance directives

Question 14

HIPAA give client’s the right to?

Answer 14

privacy and confidentiality related to healthcare.

right to obtain a copy of their medical record

requires healthcare and insurance to provide written info about how medical info was used and shared

Question 15

You are a nurse and have some downtime on your shift. You decide to pull up your mychart and read through it. What is wrong with this?

Answer 15

You are not allowed to pull up your own records

Question 16

The Privacy Rule of HIPAA requires that nurses protect?

Answer 16

all written and verbal communication about clients

Question 17

Components of the Privacy Rule

Answer 17

Only healthcare team members directly responsible for the client’s care are allowed to access to the client’s records

Clients have a right to read and obtain a copy of their medical records and a agency policy should be followed

No part of the client record can be copied expect for authorized
exchange of documents between healthcare institutions
-transfer from a hospital to a extended care
-exchange of documents for a consult

Question 18

What are the benefits of social media?

Answer 18

Provides a mechanism for nurses to access current information about health care

Enhances communication among nurses, colleagues, family

Question 19

What is continuity of care

Answer 19

refers to the consistency of care provided as clients move through the health care system
-achievement of positive client outcomes

Question 20

What is Lewin’s Change Theory

Answer 20

promotes planned change

Question 21

What are the 3 stages of Lewin’s Change Theory?

Answer 21

Unfreezing: needed for change is identified or created

Change/Movement: Strategies (driving forces) that overcome resistance to change (restraining force) are identified and implemented

Refreezing: Change is integrated and the system is re-stabilized

Question 22

5 stages of change model for individual change

Answer 22

Precontemplation: no intent to change is present or has been considered

Contemplation: individual considers adopting a change

Preparation: individual tends to implement the change in the near future

Action: individual implements the change

Maintenance: individual continues nee behavior without relapse

Question 23

What is case management?

Answer 23

coordination of care provided by an interprofessional team from the time a clients starts receiving care until they no longer receive services

Question 24

When dealing with client transfers what communication hand off tool is used?

Answer 24

SBAR