The nurse understands the implications of the Patient Self-Determination Act. This legislation requires that:

1. Clients designate a power of attorney
2. DNR orders for clients meet standard criteria
3. Organ donation is required upon death, if possible
4. Information be provided to the client regarding rights for refusal of care


ANS: 4
The Patient Self-Determination Act requires health care institutions to provide written infor-mation to clients concerning the clients' rights under state law to make decisions, including the right to refuse treatment and formulate advance directives. The Patient Self-Determination Act does not require clients to designate a power of attorney. The Patient Self-Determination Act does not require that DNR orders meet standard criteria. The Patient Self-Determination Act does not require organ donation upon death. It is the client's decision whether he or she wants to participate in organ donation.

Nursing

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The nurse has moved from another state and will begin a new job as a psychiatric nurse at an inpatient facility. To find the guidelines for practice in his new state, he would look at the state's

1. legal parameters. 2. medical statutes. 3. mental health laws. 4. nurse practice act.

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Which of the following statements about family assessment is false?

a. Assessment of structure (who comprises the family) is the last step in assessment. b. Interaction among family members is assessed. c. It is important to assess communication among family members to understand roles. d. Ongoing assessment is important, because family functioning may change during the course of illness.

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A nurse uses a care map to guide nursing interventions for patients with COPD. This is an example of using

a. evidence-based practice. b. practice patterns. c. practice styles. d. standards of care.

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Alcoholics are frequently manipulative.

Answer the following statement true (T) or false (F)

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