Nursing Critical Thinking Practice Questions

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The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration?

Correct Response: CThe registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on state statutes that differentiate among the different types of nurses and unlicensed assistive personnel that are legally able to perform different tasks.

You believe that all life saving measures for this client would be futile.

What is the first thing that you, as the nurse, should do?

Correct Response: BYou must immediately begin cardiopulmonary resuscitation and all life saving measures as the client in their advance directive despite the nurse’s own beliefs and professional opinions.

Nurses must uphold the client’s right to accept, choose and reject any and all of treatments, as stated in the client’s advance directive.I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.” How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?Correct Response: AYou should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.Your client is in the special care area of your hospital with multiple trauma and severe bodily burns.This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation.Correct Response: AA nurse who organizes and establishes a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving as the client advocate.As you should know, the definition of “client” includes not only individual clients, and families as a unit, but also populations such as the members of the local community.Both the client and the client’s spouse have knowledge deficits relating to advance directives.Legally married spouses do not automatically serve for the other spouse’s durable power of attorney for health care decisions; others than the spouse can be legally appointed while people are married.You are caring for a high risk pregnant client who is in a life threatening situation. Clinical decisions are being made that concern you because some of these treatments and life saving measures promote the pregnant woman’s life at the same time that they significantly jeopardize the fetus’ life and viability and other decisions can preserve the fetus’s life at the expense of the pregnant woman’s life.Which role of the nurse is the priority at this time?

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