Which information should the practical nurse (PN) collect during admission assessment of a terminally ill client to an acute care facility?
Name of funeral home to contact.
Contact information for client's next of kin.
Health care proxy documentation
Client's wishes regarding organ donation.
The Correct Answer is B
The correct answer is choice B, Contact information for the client's next of kin. Choice A rationale:
Knowing the name of the funeral home to contact is not a priority during the admission assessment of a terminally ill client. While this information may eventually be necessary, the immediate focus should be on gathering essential medical and contact information.
Choice B rationale:
Collecting contact information for the client's next of kin is crucial during the admission assessment of a terminally ill client. In case of any emergencies or changes in the client's condition, the healthcare team needs to be able to reach the client's closest family member or legal representative promptly.
Choice C rationale:
Healthcare proxy documentation is essential for clients who have designated someone to make medical decisions on their behalf if they become incapacitated. While this information is significant, it may not be directly applicable to all terminally ill clients, as not all of them may have a designated healthcare proxy.
Choice D rationale:
Knowing the client's wishes regarding organ donation is important for ethical and legal reasons. However, it is not the most critical piece of information to collect during the initial admission assessment of a terminally ill client. Organ donation discussions can be sensitive and require a more appropriate time and setting. The focus during admission is on immediate medical needs and contact information for family or next of kin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Ask the client to describe what happened.
Calling the agency-based client advocate (Choice A) should not be the first action taken in this situation. While involving an advocate might be necessary at some point, it is more appropriate to address the client's concerns and gather information about the incident first.
Completing a client adverse incident report (Choice C) is an important step to document theevent and any potential issues, but it should not be the first action taken. Before completing the report, the nurse needs to understand the situation from the client's perspective.
Informing the charge nurse of the situation (Choice D) is a reasonable step, but it should not be the first action. It may be necessary to escalate the issue, but understanding the situation from the client's viewpoint should be prioritized.
Correct Answer is D
Explanation
Observe the UAP's technique and communication skills during the bath.
The PN should directly observe the UAP's performance and provide feedback and guidance as needed. This can help ensure that the UAP follows the standards of care and respects the client's dignity and preferences.
The other options are not correct because:
- Asking another UAP to help the orientee may not be appropriate or necessary, as it may interfere with the orientation process and create confusion or conflict.
- Verifying with the client that the bath was complete and thorough may not be sufficient or reliable, as the client may not be able to assess the quality of care or may not want to complain.
- Inspecting the client's skin near the end of the bathing procedure may not be timely or comprehensive, as it may miss some aspects of care or some problems that occurred during the bath.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.