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Author Question: Which phrase best explains the Institute of Medicine's (IOM) 21st century rule, Care based on ... (Read 102 times)

ts19998

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Which phrase best explains the Institute of Medicine's (IOM) 21st century rule, Care based on continuous healing relationships?
 
  1. Sharing of information
  2. Patient-centered care
  3. Access is critical
  4. Care based on evidence

Question 2

A 43-year-old patient who has sustained an accidental laceration to the forearm is brought to the Emergency Department by family.
 
  It is determined that the laceration will need repair with sutures, but the patient refuses treatment saying, I'll just pull it together with some tape when I get home. What action should be taken by the nurse? 1. Insist that the patient have the suture repair.
  2. Tell the patient that the family will have to make that decision.
  3. Have the patient sign a refusal of treatment form.
  4. Tell the patient that it is a violation of the Emergency Medical Treatment and Active Labor Act of 1986 to allow a patient to leave without treatment.



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nhea

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Answer to Question 1

2
Explanation: 1. Sharing of information is related to the critical nature of Shared knowledge and the free flow of information.
2. Patient-centered care is related to the need for customization based on patient needs and values.
3. This IOM rule means that patients should receive care whenever they need itaccess is critical.
4. Patient care that is based on the best possible evidence available relates to evidence-based decision making.

Answer to Question 2

3
Explanation: 1. Medical personnel cannot insist that a competent adult patient receive care.
2. The patient makes this decision.
3. The nurse should have the patient sign this document as a part of the record of the visit.
4. This Act was passed to prevent the hospital from refusing to treat patients without insurance and to prevent hospitals from dumping these patients in other Emergency Departments.




nhea

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