A nurse is updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

"The MDS forms provide documentation of each resident's assessment, including their cognitive and physical status."

"The MDS forms are completed by the provider each month."

"The MDS forms are provided to the facility with analysis of each resident's prescribed medications."

"The MDS forms are faxed to health care providers at the end of each quarter."

Answer and Explanation

The Correct Answer is A

A.   The MDS forms are used to comprehensively document various aspects of a resident's health, including their cognitive abilities, physical health, functional status, and other relevant factors. This data is essential for creating individualized care plans, ensuring compliance with regulations, and monitoring changes in residents' conditions over time.
B.   The MDS forms are not completed by the provider each month. Instead, they are typically completed at specific intervals, such as upon admission, quarterly, and when there are significant changes in the resident's condition.
C.   The MDS forms themselves do not come with an analysis of prescribed medications. While medication management is an important aspect of resident care, the MDS focuses on broader assessments of health and functional status rather than detailed medication analysis.
D.   The MDS forms are not faxed to health care providers. Instead, the MDS documentation is used internally within the facility for care planning and regulatory compliance, and the data may be submitted electronically to regulatory bodies as required.

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Correct Answer is D

Explanation

A. This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B. This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C. The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D. This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

A. Playing a computer video game with an adolescent who has sickle cell disease B. Transporting a school-age client who is in traction to another department C. Reading a book to a preschool client who has AIDS D. Rocking an infant who was admitted for croup

Correct Answer is B

Explanation

A. Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B. Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C. Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D. Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.

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A nurse is updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

Nursing Test Bank

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Correct Answer is D

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Correct Answer is B

Explanation

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