When a terminally ill patient has requested a "do not resuscitate" (DNR) order and the family of the patient is strongly opposed to the patient's request, what is the responsibility of the nurse?
A) Perform a "slow code" until a decision is made
B) Honor the request of the patient
C) Contact a lawyer to intervene
D) Terminate nursing care until the physician talks to the family
Ans: B
Feedback: Discussing the matter with the physician may lead to further communication with the family, during which the family may reconsider their decision. The nurse must also honor the patient's wishes and continue to provide required nursing care. It is not appropriate for the nurse to seek the assistance of a lawyer or to perform a "slow code" in this situation.
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The nurse is preparing a teaching plan and is applying evidence-based practice. To promote involvement, the nurse must:
a. provide the latest professional literature to the patient. b. ensure that the patient understands relevant information. c. use only one teaching method to reduce confusion. d. not review previously learned information.
The discord among physicians regarding nursing care laid the groundwork for the establishment of these nursing protocols:
a. Health care providers' orders became a standard part of the medical record in the late 1800s. b. Standing orders for nurses providing home care were developed by the Chicago Visiting Nurse Association in 1912. c. The first schools for practical nursing were founded in the 1890s. d. Third-party payers set standards for which services they would pay for and who could perform those services.
Which of the following are considered impediments to a fully functional electronic health record (EHR) system? Select all that apply
1. Development of an electronic infrastructure 2. Cost 3. Common vocabulary 4. Caregiver compliance 5. Privacy
Social justice implies that people deserve an equal chance for economic and political opportunities. To promote social justice, nurses can:
1. Talk to city council members about health risks of vulnerable populations. 2. Donate time and money to local homeless shelters and food banks. 3. Advocate for health policy changes that improve social and economic factors that impact health of vulnerable populations. 4. Refer health-care providers to Healthy People 2020 for information on health determinants.