Fundamentals EDAPT - Living Will

A middle-aged adult presents to the clinic for follow-up after having been diagnosed with pulmonary hypertension. The client works as a local politician and has a history of sarcoidosis. Their vital signs are within normal reference ranges. The client states that they wish to discuss options for care as their conditions worsen. Which provision of the Patient Self-Determination Act (PSDA) requires health professionals participate in this discussion? ​

requirement to inform health related rights

For each situation, use the first drop down menu to indicate if the actions involved were intentional, quasi-intentional, or unintentional. Use the second drop down menu to indicate which tort was committed.​

1. intentional, assault 2. intentional, false imprisonment 3. quasi-intentional, invasion of privacy 4. unintentional, negligence

The nurse notes that a living will is in the client's medical record. Which of the following statement represents the best description of guidelines a nurse would follow in this case?​

A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.​

While assessing a newborn client discharged from the neonatal intensive care unit the previous day, a home health nurse notices significant bruising on the 2-year-old sibling's head, arms, abdomen, and legs who is wearing only a diaper and playing with age appropriate toys. The parent of both children describes the toddler as "quite clumsy" and "always running into things" before handing the newborn to the nurse. ​

Assess newborn Establish nursing dx Asses pt knowledge Provide teaching document end contact supervisor

For each client described below, indicate if a durable power of attorney for healthcare (DPOA) or living will is recommended by placing a check in the appropriate column or columns. Select one or both for each client.​

DPOA: adult with cancer, adult with HIV, single-parent, healthy college age individual Living will: all

components of informed consent

Informed consent is an agreement from the CLIENT to have a medical procedure and requires full disclosure of the RISKS and benefits of TREATMENT, alternative care options, and the consequences of taking no action from the healthcare provider. The information provided to obtain consent must be done using terms that the client understands. ​ Elements of informed consent: diagnosis and PURPOSE of proposed action; risks and benefits of action; alternatives; risks and benefits of alternatives; and risks and benefits of no action. It also requires that the client has the CAPACITY to understand their options for care.​ ​

Separate these nursing actions based on whether or not it could result in the nurse being found liable of malpractice by dragging the sentence to the correct location.​

Malpractice does not complete assessment, leaves work, does not follow up, instructs UAP to administer meds, documents care not provided

A healthcare provider prescribes one tablet of a medication, but the nurse accidentally administers two. After notifying the healthcare provider, the nurse monitors the client for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for malpractice?​

No, because the client was not harmed

For each item listed below, indicate if it is a statutory law, civil law, or tort by placing a check in the appropriate column.​

Statutory law: nurse practice and good samaritan Civil law: consent, advanced directive Tort: malpractice, false imprisonment, defamation

Ordinarily minors may not consent to medical treatment for themselves. The nurse understands that this does not apply to emancipated minors and unemancipated minors in certain situations. For each situation listed, indicate if consent can be provided by an emancipated or unemancipated minor by placing a check in the appropriate column.​​

emancipated: CHECK ALL unemancipated: STI, substance use, mental health, pregnancy, parent of minor

A client has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The client experiences decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the client's toes have become pale and cold but forgets to document this because one of the nurse's other clients experienced cardiac arrest at the same time. Two days later the client in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee. Which statements regarding a breach of duty apply to this situation? Select all that apply.​

failure to document failure to notify

Which actions by the nurse could result in both criminal and civil law sanctions? Select all that apply.​

apply physical restraints taking controlled substances

Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. This is an example of ______ which is an ________________ _____________.​​

battery intentional tort

For each action associated with enacting a Do Not Resuscitate Order (DNR), indicate which individual is responsible for completion by placing a check in the appropriate column or columns. Select all that apply for each action.​

client/family: Accept that if DNR form is not available, resuscitative care will be provided provide original, unaltered DNR, understand consequences HCP: determine client has terminal condition and capacity, provide palliative care, confirm validity of DNR, withhold or withdraw resuscitative measures, accept if DNR unavaiable resuscitative care will be provided by health team Nurse: provide palliative care, confirm validity of DNR, withhold or withdraw rescusitative measure

An older adult presents to the clinic with their adult daughter. After the physical examination is completed, the client asks to speak with the nurse in private. Once alone, the client explains that the daughter dictates their healthcare-related decisions regarding medications, sometimes against their wishes. The client asks if they have any legal rights to assure they are able to make healthcare decisions for themselves. What information will the nurse provide? Select all that apply.

discuss wishes relay info to HP encourage client to consider DPOA document client wishes refer client

The nurse stops at the scene of a motor vehicle crash intending to assist individuals who were injured. The nurse understands their actions are supported by which principles? Select all that apply.​

good samaritan law victims right to refuse cannot be held liable