A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period in which the patient was stable and competent. The nurse should
a. ensure that the directives are respected in treatment planning.
b. review the directive with the patient to ensure that it is current.
c. consider the directive only if there is a cardiac or respiratory arrest.
d. realize that such directives address only the use of psychotropic medication.
A
Advance directives for psychiatric care might be given by competent patients. They are considered binding and should be considered in planning treatment. Advance directives address several issues including psychotropic medication. Review is not required. A psychiatric advance directive relates specifically to mental health services, not cardiac or respiratory problems.
You might also like to view...
When transporting a patient from one facility to another, the top priority is
A) the patient's comfort. B) honest, immediate communication. C) airway, breathing, and circulation. D) prevention of complications.
The nurse is establishing priorities for the implementation of a plan of care for a client. Which of the following is of the least importance when implementing care?
a. Activities scheduled by other departments b. what the client thinks is his most important problem c. The nurse's personal preferences for order of daily activities on the unit d. The skill level of the health care workers available on the unit
A type A fire extinguisher should be used for which type of fire?
a. electrical fire c. flammable gases b. flammable liquid d. paper
The nurse instructs the patient to self-administer nasointestinal tube feedings at home. Which is the best instruction to include in patient teaching about aspirating the tube?
a. Withhold tube feedings if unable to obtain aspirate. b. Check tube placement by instilling air into the tube. c. Administer the tube feedings at 7.22° C to 10° C (45° F to 50° F). d. Report aspirate with a pH less than 6.0 to the provider.