A gravely disabled psychiatric patient has a guardian. What is the essential implication for nursing care?
a. The patient can override the guardian's judgment at any time.
b. Guardianship is a legal matter that does not affect clinical care.
c. The guardian's rights apply only to a patient's financial interests.
d. The guardian participates in treatment planning on behalf of the patient.
D
Guardians make decisions on behalf of the patient and represent the patient in treatment planning meetings. Guardianship affects clinical care, as previously mentioned. The guardian has the right to refuse treatment for the patient. The patient cannot override the guardian's judgment, because the patient is considered incompetent.
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The term used to describe the weight-bearing status of a patient who rests the injured foot on the floor without bearing weight is
a. non-weight-bearing. b. touchdown weight bearing. c. partial weight bearing. d. minimal weight bearing
A patient in the ICU is a candidate for palliative care. The patient is a widower with several siblings and children, but no one has legal power of attorney. Which steps should be made as planning for palliative care progresses?
1. The oldest child should be designated as the primary decision maker. 2. The oldest of the patient's siblings should be designated as the primary decision maker. 3. A guardian, who may or may not be a family member, should be assigned. 4. The hospital's ethics committee should be consulted. 5. The patient's physician should be designated as the primary decision maker.
Which of the following are considered evidence-generating? (Select all that apply.)
a. Replication of previous research b. Identification of research topics, followed by basic research c. Applied research studies that examine clinical response to interventions d. Reviews of the literature e. Qualitative research examining responses to diagnosis
A young woman has been in an automobile crash that resulted in an amputation of her left lower leg. She verbalizes grief and loss. What knowledge by the nurse is used to provide interventions to help the patient cope?
A) The patient should be grateful to be alive. B) This is a normal, appropriate response. C) This is an abnormal, inappropriate response. D) Tissue healing will help the patient adapt.