Author Question: The patient has decided that he would like to create an advance directive. The nurse is asked if she ... (Read 52 times)

Hungry! · **on:** Jul 24, 2018

The patient has decided that he would like to create an advance directive. The nurse is asked if she would be a witness. The nurse should:

a. Agree to be a witness
b. Refuse to be a witness
c. Contact social work
d. Contact the physician

Question 2

The patient is an older male with the diagnosis of dementia. He is confused and wanders and is occasionally combative. The physician orders Posey vest (restraint vest) PRN. The nurse should:

a. Place the Posey vest on the patient as needed
b. Inform the physician that the order is inappropriate
c. Check the condition of the patient every 2 hours after application of the vest
d. Ignore the order

akpaschal · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
A social worker often fulfills this requirement. Witnesses for an advance directive document should not be medical personnel, and direct refusal does not meet the nurse's obligation to meet the patient's needs. Referral to a department that can ensure this service is required.

Answer to Question 2

B
This order must never be written as a standing order or on an as-needed basis (i.e., prn); the condition of the restrained or secluded patient must be continually assessed, monitored, and reevaluated. Consultation with the patient's treating physician should occur as soon as possible if the restraint or seclusion is not ordered by the patient's treating physician.