The plan of care serves as the structural framework for a. ...

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The plan of care serves as the structural framework for
 
  a. maintaining confidentiality.
  b. attaining self-actualization.
  c. maintaining therapeutic communication.
  d. providing safe, high-quality care.

Question 2

The nurse is caring for a client whose health has suddenly worsened. The nurse calls the health care provider. What is the best example of the nurse communicating to the health care provider using the situation part of SBAR communication?
 
  a. The patient has developed dyspnea with audible crackles in the lungs bilaterally; oxygen saturation is 86 on room air.
  b. The patient has chronic obstructive pulmonary disease due to a long-term history of smoking.
  c. I am concerned that the patient is exhibiting signs of a pulmonary embolus due to a sudden drop in oxygenation.
  d. I would like for you to order a STAT chest x-ray because the patient has suddenly developed shortness of breath with hypoxia.

[soda0602]

Answer to Question 1

ANS: D
The plan of care plan serves as the structural framework for providing safe, high-quality care. Its purpose is to provide continuity and supply a basis for interventions and documentation of client progress. Each plan of care should be individualized to reflect client values, clinical needs, and preferences. Confidentiality is defined as providing only the information needed to provide care for the client to other health professionals who are directly involved in the care of the client. The nurse can use Maslow's hierarchy of needs to prioritize goals and objectives. Therapeutic communication helps the nurse use the nursing process.

Answer to Question 2

ANS: A
Situation: What is going on with the client? Background: What is key information/context? Assessment: What do I think the problem is? Recommendation: What do I want to be done?

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Gracias!

[ryhom]

TYSM