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Zorluk: OrtaClient Rights and Advocacy

A competent adult client informs the practical nurse (PN) that they wish to designate their oldest child as their healthcare proxy and create a living will. Arrange the actions the PN should take in the correct chronological order.

  1. 1Determine the client's current understanding of advance directives.
  2. 2Provide the client with the facility's standardized written information about advance directives.
  3. 3Notify the registered nurse (RN) and request a social services consultation.
  4. 4Document the client's request, the materials provided, and the referrals made in the medical record.

Cevap

The correct sequence is: First, determine the client's current understanding. Second, provide the facility's standardized written information. Third, notify the registered nurse and request a social services consultation. Finally, document the actions in the medical record.
Clinical prioritization requires following the nursing process. Data collection (determining understanding) comes first. Next, the PN implements care within their scope by providing standardized information. The PN then advocates for the client by communicating the need for advanced assistance to the RN and social worker. Finally, all actions must be accurately documented in the client's medical record.

Adım Adım Çözüm

1
Determine the client's current understanding of advance directives.
The PN establishes a baseline for the client's knowledge and needs.
Data collection must always precede nursing interventions to ensure that care is individualized and appropriate.
2
Provide the client with the facility's standardized written information about advance directives.
The client receives factual, approved information to help them make an informed decision.
The Patient Self-Determination Act requires healthcare facilities to provide written information regarding advance directives, which is within the PN's scope to distribute and reinforce.
3
Notify the registered nurse (RN) and request a social services consultation.
The appropriate interdisciplinary team members are mobilized to assist the client.
While the PN can provide standard information, completing and witnessing complex legal forms such as a healthcare proxy typically requires collaboration with a social worker or the RN.
4
Document the client's request, the materials provided, and the referrals made in the medical record.
A permanent legal record of the advocacy actions is created.
Documentation should accurately reflect all nursing actions and client interactions immediately after they occur.

Anahtar Kavram

The practical nurse's role in client advocacy regarding advance directives involves initial data collection, providing standardized information, collaborating with the interdisciplinary team for legal execution, and comprehensive documentation.
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