Editing Management of Care – RN Flashcards (section)

== Consent, Directives, and Rights ==

;Who is responsible for obtaining informed consent and what is the nurse's role
:The provider performing the procedure discloses the nature, risks, benefits, and alternatives and obtains consent. The nurse witnesses the signature, verifies that it is voluntary and that the client is competent, and confirms understanding.

;What does the nurse do if the client cannot describe the planned procedure
:Stop the process and notify the provider to return and complete the disclosure. The nurse does not explain the procedure in the provider's place and does not obtain the signature first.

;Compare a living will and a durable power of attorney for health care
:A living will states which treatments the person does or does not want. A durable power of attorney for health care names a person to decide, which is generally more flexible because a named agent can respond to situations the document never anticipated.

;What does a DNR order limit
:Cardiopulmonary resuscitation only. Pain control, oxygen, antibiotics, nutrition, positioning, suctioning, and all other indicated treatments continue unless separately limited.

;When does an advance directive take effect
:Only when the client loses decision-making capacity. A competent client's currently expressed wish always governs, and the client may revoke or change the directive at any time.

;What does the Patient Self-Determination Act require
:Facilities receiving Medicare or Medicaid funds must ask on admission whether the client has an advance directive, provide written information about the right to create one, document its existence, and not discriminate based on whether one exists.