multidisciplinary case conferences

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What is the primary goal of multidisciplinary case conferences?
  • To fulfill the nurse’s role in terms of collaboration
  • To plan and provide for optimal client outcomes
  • To solve complex multidisciplinary patient care problems
  • To provide educational experiences for experienced nurses

The Patient Self Determination Act

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Select the law that is accurately paired with its description in terms of client rights.

legal consent

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Which type of legal consent is indirectly given by the client by the very nature of their voluntary acute care hospitalization?
  • An opt out consent
  • An implicit consent
  • An explicit consent
  • No consent at all is given

nurse case management model

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Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors:
  • The ProACT Model: Registered nurses perform the role of the primary nurse in addition to the related coding and billing functions
  • The Collaborative Practice Model: The registered nurse performs the role of the primary nurse in addition to the role of the clinical case manager with administrative, supervisory and fiscal responsibilities
  • The Case Manager Model: The management and coordination of care for clients throughout a facility who share the same DRG or medical diagnosis
  • The Triad Model of Case Management: The joint collaboration of the social worker, the nursing case manager, and the utilization review team

appropriate member of the nursing care team

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Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
  • An unlicensed staff member who has been “certified” by the employing agency to monitor telemetry: Monitoring cardiac telemetry
  • An unlicensed assistive staff member like a nursing assistant who has been “certified” by the employing agency to insert a urinary catheter: Inserting a urinary catheter
  • A licensed practical nurse: The circulating nurse in the perioperative area
  • A licensed practical nurse: The first assistant in the perioperative area

five Rights of Supervision

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Which of the following are the five Rights of Supervision?
  • The right task, the right circumstances, the right person, the right competency, and the right supervision or feedback
  • The right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback
  • The right competency, the right education and training, the right scope of practice, the right environment and the right client condition
  • The right competency, the right person, the right scope of practice, the right environment and the right client condition

cardiopulmonary resuscitation

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Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
  • Call the doctor and advise them that the client’s physical status has significantly changed and that they have just had a cardiopulmonary arrest.
  • Begin cardiopulmonary resuscitation other emergency life saving measures.
  • Notify the family of the client’s condition and ask them what they should be done for the client.
  • Insure that the client is without any distressing signs and symptoms at the end of life.

Patient Self Determination Act

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The Patient Self Determination Act of the United States protects clients in terms of their rights to what? Select all that apply.
  • Privacy and to have their medical information confidential unless the client formally approves the sharing of this information with others such as family members.
  • Make healthcare decisions and to have these decisions protected and communicated to others when they are no longer competent to do so.
  • Be fully informed about all treatments in term of their benefits, risks and alternatives to them so the client can make a knowledgeable and informed decision about whether or not to agree to having it
  • Make decisions about who their health care provider is without any coercion or undue influence of others including healthcare providers.

racism and discrimination

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Go to TED Talk: www.ted.com 6. Search: David R. Williams: How Racism Makes Us Sick 7. Watch the video (video link also located in Brightspace) 8. Answer the following questions: a. Provide $ statistics in racial differences and life expectancy provided by the video b. What are the $ diseases mentioned in the video as a result of high levels of discrimination? c. Define Implicit Bias and Unconscious Discrimination and provide the impact of medical treatment as mentioned in the video. d. Provide & example of systemic change mentioned in the video and its implications.

Kimberle’ Crenshaw: The Urgency of Intersectionality

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Go to TED Talk: www.ted.com 2. Search: Kimberle’ Crenshaw: The Urgency of Intersectionality 3. Watch the video (video link also located in Brightspace) 4. Answer the following questions: a. As explained in the video, define Intersectionality, and summarize the example provided and how intersectionality informs social justice efforts. b. Discuss police violence as indicated in the video and the call for social justice efforts.