The Patient Self-Determination Act (PSDA) of 1991 requires that:
A. All clients must come to a decision about advance directives
B. Clients sign a form to receive insurance reimbursement
C. Health care insurance companies be informed about procedures and costs in advance
D. Medicare and Medicaid recipient hospitals provide information about treatment options
D
D. The PSDA of 1991 requires clients to be informed about options at the time of admission.
A. Clients are informed about advance directives, but no decision is required.
B. The PSDA does not address insurance reimbursement.
C. Advance notification is a requirement of some insurance carriers, not part of the PSDA.
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A long-term care nurse is preparing an educational program for his peers regarding appropriate use of antipsychotic medications. What information should the nurse include?
A) Residents who use antipsychotic drugs must receive gradual dose reductions, drug holidays, or behavioral programming unless clinically contraindicated, in an effort to discontinue the use of these drugs. B) Wandering, restlessness, and impaired memory are appropriate indications for the use of antipsychotic medications. C) Fidgeting, nervousness, and uncooperativeness are appropriate indications for the use of antipsychotic medications. D) Use of antipsychotic medications would never be considered a chemical restraint.
Which one of the following clients would probably have a higher than normal respiratory rate? A client who has:
a. Had surgery and is receiving a narcotic analgesic b. Had surgery and lost a unit of blood intraoperatively c. Lived at a high altitude and then moved to sea level d. Been exposed to the cold and is now hypothermic.
A patient is 1 day postsurgery for a crushed pelvis. The CNA reports that the patient is complaining of being short of breath and demonstrating signs of confusion and restlessness
The nurse suspects from these signs alone that the patient has suffered: 1. impending shock. 2. a fat embolus. 3. anxiety. 4. neurovascular compromise.
A nurse is asked by a co-worker why patient education/teaching is important. Which statements will the nurse share with the co-worker? (Select all that apply.)
a. "Patient education is an essential component of safe, patient-centered care." b. "Patient education is a standard for professional nursing practice." c. "Patient teaching falls within the scope of nursing practice." d. "Patient teaching is documented and part of the chart." e. "Patient education is not effective with children." f. "Patient teaching can increase health care costs."