Nurses are required to be familiar with facility policies, ...

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Nurses are required to be familiar with facility policies, including those regarding directives and medical orders.
 
  The Patient Self-Determination Act of 1991 requires all healthcare facilities receiving Medicare and Medicaid reimbursement to: Standard Text: Select all that apply. 1. Ask clients whether they have advance directives
  2.
  3. Provide written information to clients about their right to declare personal wishes about treatment
  4. Make certain that clients have an advance directive in place
  5. Inform clients of their right to refuse medical treatment

Question 2

The male nurse is teaching a female client whose cultural background and language is different from his own. Which of the following teaching actions by this nurse is appropriate? Select all that apply. Standard Text: Select all that apply.
 
  1. The nurse uses pictures and charts.
  2. The nurse assesses the client's comfort with discussing hygiene with a member of the opposite sex.
  3. The nurse assumes the client understands when she smiles and nods.
  4. The nurse gives printed materials in very basic English.
  5. The nurse uses the facility interpreter to help him.

[cswans24]

Answer to Question 1

1,2,3,5
Rationale: All facilities are required to either check the client's chart or ask clients whether they have advance directives.

Answer to Question 2

1,2,5
Rationale: Use of pictures and charts, if applicable to the topic, is of particular value when teaching a client who speaks a different language, because pictures and charts can be interpreted by the client no matter what language is spoken. It is important to assess the client's comfort when discussing hygiene because some cultures find it inappropriate for a woman to discuss personal topics with a man who is not her father or husband. An interpreter is essential in providing understandable information. Smiling and nodding do not necessarily indicate understanding, and must be assessed by the nurse. A client who does not speak any English will not be helped by even the most basic English.

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[anyusername12131]

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