CLINICAL SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ When a person authorizes another to make decisions on their behalf is
when they have written which of the following?
A. proxy Directive
B. Standard addendum to a will
C. Treatment directive
D. Living Will.
Answer: A
(Rationale) Durable POA for health care is a legal document through
which the signer appoints and authorizes another individual to make
medical decisions on their behalf when he or she is no longer able to
speak for themselves. This is AKA as a Health Care POA or a Proxy
Directive.
◉ What is the primary focus of the nurse advocacy role in managing a
clinical pathway?
A. Cost-Containment practices
B. Effective utilization of services
C. Continuity of Care
D. A patient's progress toward desired outcomes.
Answer: D -
(Rationale) Evidence-based practice tools used for planning patient care
may include not only bundles but also clinical guidelines, algorithms,
,care mapping, multidisciplinary action plans, and clinical pathways.
These tools are used to move patients toward predetermined outcomes
◉ The nurse moves a confused, disruptive patient to a private room so
that other patients can rest. Even though the confused patient becomes
more agitated. The nurse's intervention is consistent with what moral
theory?
A. Veracity
B. Paternalism
C. Consequentialism
D. Duty of obligation.
Answer: C -
(Rationale) One classic theory in ethics is teleologic theory or
consequentialism, which focuses on the ends or consequences of actions.
The best-known form of this theory, utilitarianism, is based on the
concept of "the greatest good for the greatest number." The choice of
action is clear under this theory, because the action that maximizes good
over bad is the correct one. The theory poses difficulty when one must
judge intrinsic values and determine whose good is the greatest. In
addition, it is important to ask whether good consequences can justify
any amoral actions that might be used to achieve them
◉ Which set of nursing actions demonstrates that the nurse understands
the nursing process?
A. Obtaining vital signs and pain scale rating, documenting the nursing
diagnosis as acute pain, administering analgesic, and evaluating comfort
level
, B. Reviewing the health record, documenting client goals, identifying
the etiology of the nursing problem, and evaluating treatment outcomes
C. Assessing for allergies, administering analgesic, obtaining baseline
vital signs, and documenting the nursing diagnosis as acute pain
D. Prioritizing client goals, documenting all health records precisely,
conducting the health history, and documenting the nursing diagnosis.
Answer: A. Obtaining vital signs and pain scale rating, documenting the
nursing diagnosis as acute pain, administering analgesic, and evaluating
comfort level
Rationale: Steps of the nursing process, in order, are assessment,
diagnosis, planning, implementation, and evaluation (ADPIE).
Assessment is the systematic collection of data to determine the client's
health status and any actual or potential health problems. Nursing
diagnoses are actual or potential health problems that can be managed by
independent nursing interventions. Planning is the development of goals
and outcomes. Implementation is the actualization of the plan of care
through nursing interventions. Evaluation is the determination of the
client's responses to the nursing interventions and the extent to which the
outcomes have been achieved. The other answers are incorrect, though
important nursing interventions and tasks. The question is asking about
the steps of the nursing process (ADPIE). Answer B: Assessing for
allergies, administering analgesic, obtaining baseline vital signs, and
documenting the nursing diagnosis as acute pain does not include the
evaluation of (ADPIE). Answer C: Reviewing the health record,
documenting client goals, identifying the etiology of the nursing
problem, and evaluating treatment outcomes, misses the first two steps:
assessment and diagnosis. Answer D: Prioritizing client goals,
documenting all health records precisely, conducting the health history,
and documenting the nursing diagnosis- assessing is the first step of the