Complete Solutions
durable medical power of attorney.
The patient tells the nurse, "I want to make sure that my
daughter can make health care
decisions for me in the event I'm un able to make decisions for
myself. What do I need to do?"
The nurse should advise the patient that he or she needs to
execute a(n)
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A durable medical power of attorney names a health care proxy,
an individual whom the
patient wishes to make health care decisions for him or her when
the patient is not able to
make decisions. A living will sets forth the care the patient is
willing and unwilling to receive
but does not name a health care proxy. The remaining options
(civil action, which protects
individual rights and results in payment of money to the injured
person, and informed consent,
which is obtained by the physician for invasive procedures after
the physician has provided
with the facts about effects, side effects, alternative treatments,
prognosis, etc.) have no
relevance to the scenario.
,informed consent.
The term used to describe a competent patient's agreement to
have a surgical procedure after
the physician explains the procedure, the desired outcome,
possible complications, and
possible alternative treatment is
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Informed consent requires that the individual receive all relevant
information and be able to
make a decision based on consideration of the information.
Statute is a synonym for law.
Competency refers to having the mental capacity to be able to
make informed decisions.
Standard of care refers to that which a prudent nurse would do in
a given situation.
breached confidentiality.
The nurse discusses the patient's condition on the phone with the
patient's brother. On
learning this, the patient is upset, saying he has not spoken with
his brother for years and does
not want his brother to know anything about his condition. The
nurse has
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Confidentiality and privacy are the issues. HIPAA provides for
only limited disclosure of
patient health care information. Patient consent is required to
, disclose. Disclosure of
information is not necessarily slander unless the nurse speaks of
the patient in a derogatory
way. A felony is a major crime. Assault involves threatening the
patient.
The nurse must go directly to the physician and, if necessary,
refuse to carry out the order.
What is the nurse's responsibility regarding an improper medical
order that, if carried out,
may harm a patient?
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The nurse should deal directly with the physician who wrote the
order. If this is unsuccessful,
the nurse should use the nursing chain of command. Carrying
out the orders as written without
questioning is unsafe and may cause harm to the patient. Going
directly to the patient and
asking the individual to make a decision about the order is
unrealistic and inappropriate.
Carrying out the order and then immediately resigning so as not
to be held responsible is
unsafe.
maintaining good relationships with patients and families.
A risk management strategy a nurse can use to prevent being
named in malpractice lawsuits is
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