During a home health visit, a practical nurse (PN) is caring for an older adult client who is recovering from a recent stroke. The client has designated an out-of-state relative as their durable power of attorney for healthcare. What actions should the PN take to maintain legal and ethical practice standards? Select all that apply.
- Verifying the identity of the out-of-state healthcare proxy before discussing the client's current care plan over the telephone.Cevap
- BProviding a detailed explanation of the risks and benefits of a newly prescribed treatment before obtaining the client's signature on the consent form.
- Declining to answer a visiting neighbor's questions regarding the client's expected recovery timeline and newly prescribed medications.Cevap
- DPostponing the report of newly discovered, suspicious bruising on the client's torso until the supervising registered nurse (RN) arrives for a visit the following week.
- EAccepting a telephone order directly from the physical therapist to administer a new intravenous (IV) pain medication.
- Honoring the client's decision to refuse their morning oral medications, documenting the refusal, and promptly notifying the healthcare provider.Cevap
Cevap
The correct actions include verifying the identity of the healthcare proxy before sharing information, declining to share medical details with the neighbor, and honoring the client's right to refuse medication.
The correct actions demonstrate strict adherence to legal and ethical standards. Verifying the healthcare proxy's identity and refusing to answer the neighbor's questions both protect the client's privacy in compliance with HIPAA. Honoring the client's refusal of medication respects the ethical principle of autonomy and the client's legal right to refuse care. Documenting this and notifying the provider completes the professional obligation.
Adım Adım Çözüm
Anahtar Kavram
Maintaining professional boundaries, confidentiality (HIPAA), mandatory reporting, and adhering to the LPN/LVN scope of practice in community settings.