Results: When a patient refuses nursing care, nurses respond by giving information until the patient finally accedes to the procedure. Nurses will go to great lengths to achieve patients’ agreement to the procedure, but the extent to which the agreement remains voluntary cannot be ascertained by the data collected in this study.
Full Answer
Can a nurse refuse to treat a patient?
In doing a bit of additional research into this topic, I learned that nurses actually can refuse to treat a patient.
What type of crisis is a nurse caring for a client?
A nurse is caring for a young adult client following the death of his wife due to a sudden aneurysm. The client feels paralyzed in his ability to cope with work and family responsibilities. The type of crisis the student is experiencing is: Situational
What to do when a patient refuses initial life-sustaining treatment?
When a patient refuses initial life-sustaining treatment, respectfully explore the underlying reason for the refusal. This allows the healthcare team to identify alternative options that may be equally medically effective and also acceptable to the patient.
What should the nurse do when the client talks about the past?
Listen attentively when the client talks about the past. A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle
What actions should a nurse implement when a client refuses a treatment?
If the client refuses a treatment or procedure, the client signs a document indicating that he understands the risk involved with refusing the treatment or procedure and that he has chosen to refuse it. The nurse asks the client to sign an "Against Medical Advice" form and documents the incident.
What action should a nurse take first when a medication error is made?
Taking ownership of the error and doing the right thing by putting the patient first is the only realistic course of action. Take immediate corrective measures. Inform the patient's doctor of the mistake so that action can be taken as soon as possible to counteract the effects of the incorrect medication.
What are the guidelines that nurses should follow when considering whether or not a client requires restraints quizlet?
What are the guidelines that nurses should follow when considering whether or not a client requires restraints? Use a restraint when there is no other option and use the least restrictive restraint first.
What are the components of the Hipaa privacy rule that nurses should uphold?
The three components of HIPAA security rule compliance. Keeping patient data safe requires healthcare organizations to exercise best practices in three areas: administrative, physical security, and technical security.
What action would you take if a resident refuses medication?
Possible action that can be taken Patient refuses medication • Try to identify why the resident has refused the medication, their beliefs, understanding of what the medicine is for and consequences of not taking the medication. Establish if there is a pattern of refusal. Address any issues identified.
What should you do in the event of a medication error?
How to deal with medication errorsEstablish the extent of the problem. Dealing with your patient's clinical wellbeing must of course be the first step. ... Sources of information. ... Inform the patient. ... Put it right where possible. ... Reporting. ... Investigate further and review systems.
What should be done when a patient is in restraints?
When restraints are used, they must:Limit only the movements that may cause harm to the patient or caregiver.Be removed as soon as the patient and the caregiver are safe.
What are the nursing responsibilities when using restraints?
Nurses have a duty to promote a restraint-free culture across all clinical and therapeutic settings. Nurses may be required to use patient restraints and seclusion to assure patient and nursing and staff safety and to facilitate the delivery of nursing care.
What are the nurses responsibilities while restraints are in use?
With any intervention, such as restraint use, nurses need to ensure they actively involve the patient, patient's family, substitute decision makers and the broader health care team. Nurses are also accountable for documenting nursing care provided, including assessment, planning, intervention and evaluation.
What happens if a nurse breaches confidentiality of a client?
Either could also cause a lawsuit against you and your facility. Your facility may not have your back and often cases against the facility are dropped citing the nurse knew what s/he was doing was wrong. Depending on the severity, you could even face suspension or loss of your license.
What are the 3 HIPAA rules?
The three HIPAA rulesThe Privacy Rule.Thee Security Rule.The Breach Notification Rule.
What are the three standards of the HIPAA security Rule?
The HIPAA Security Rule requires three kinds of safeguards: administrative, physical, and technical. Please visit the OCR for a full overview of security standards and required protections for e-PHI under the HIPAA Security Rule.
What is confidential nursing?
Confidentiality is regarded as a critical component of good nursing care and reflects the professional responsibility of the nurse to respect a patient’s rights. The Data Protection Act 1998 also governs the protection of patients’ information (OPSI 1998).
What is the role of a nurse in the human rights act?
The Human Rights Act (1988) enables individuals to take action against a health authority that has failed to uphold their right to respect (OPSI 1998).
Can a nurse refuse treatment if he passes the Re C test?
It is a principle of UK law that a competent adult who has passes the Re C test may refuse treatment even if his life depends on it (Dimond 2004).
Is veracity a problem for nurses?
Veracity may present a dilemma for the nurse since there are times when telling the truth may cause harm to an individual (non-maleficence). Conversely there may be situations where telling a lie may actually do good (beneficence), although this goes against the principle of veracity (Ellis and Hartley 2003).
Is Alastair able to care for himself after a stroke?
In Alastair’s case, he was no longer independent and able to care for himself following his stroke, and had to rely on others for help with everyday activities. The nurse must therefore decide whether Alastair is capable of making a fully autonomous decision.
Can a patient refuse to give consent?
The Court of Appeal has stated that provided the patient has the necessary mental capacity (assessed in relation to the decision that has to me made), they can refuse to give consent with or without a reason for doing so. In UK law, the court protects the right of the individual in this regard.
What happens when a patient refuses life-sustaining treatment?
When a patient refuses initial life-sustaining treatment, respectfully explore the underlying reason for the refusal. This allows the healthcare team to identify alternative options that may be equally medically effective and also acceptable to the patient. In the end, the patient has the right to accept or refuse life-sustaining medical treatment.
What ethical dilemmas can a nurse face?
A: One of the greatest ethical dilemmas a nurse can encounter is when a patient refuses life-sustaining treatment—any procedure, medication, intervention, or use of medical technology that can postpone death. As healthcare providers, we're instilled with the primary objective to save lives. However, when treatment options are aimed ...
Why do some people refuse blood transfusions?
Some patients may elect to refuse specific medical treatments, such as blood transfusions, because of religious beliefs, but will accept synthetic blood plasma expanders that aren't made of donor blood. When a patient refuses initial life-sustaining treatment, respectfully explore the underlying reason for the refusal.
What does it mean to be competent in healthcare?
The term competent means the patient understands that refusing to accept treatment will result in eventual death.
Is it illegal to force a patient to take medication without their consent?
Forcing treatment on a patient without his or her informed consent is illegal . Ensure that the risks and benefits of all treatment options are discussed with the patient so that he or she can make an informed decision that reflects his or her values and beliefs.
Can you stop curative treatment?
However, when treatment options are aimed at prolonging the patient's life, and no acceptable curative treatment option is available, patients may opt to cease medical treatment. Even when curative options are available, patients may not be willing to undergo the physical trauma, time involved, or associated emotional distress.
Can a nurse refuse to treat a patient?
In doing a bit of additional research into this topic, I learned that nurses actually can refuse to treat a patient. According to the American Nurses Association (ANA) position statement from 2009, nurses “have the professional right to accept, reject or object in writing to any patient assignment that puts patients or themselves at serious risk for harm”. Additionally, in 2014, The American Nurse published an article that discussed ‘conscientious objection’ when caring for a patient contradicts a nurse’s morals.
Can a nurse refuse to take care of a prisoner?
Just because a patient is in the prison system, does not mean that a nurse can automatically refuse to care for them. If a patient who is also a prisoner shows up on the unit, many times they are there with guards or police or whoever’s custody they are in.
What is the role of a nurse in a client?
To prevent aspiration problems. A nurse is caring for a client who is unconscious. With the help of an assistive personnel, the nurse has repositioned the client from a left lateral to a right lateral position. The clients daughter asks why the nurse keeps her father lying on his side.
What is a nurse caring for?
A nurse is caring for a client who has anorexia nervosa. The client refuses a high-calorie nutritional supplement. Which of the following ethical principles is the nurse utilizing when respecting the client decision? " The courts may require me to discuss confidential information.".
What is a nurse's role in AMA?
A nurse is caring for a client who is competent, refuses further treatment, and asks to sign out of the hospital against medical advice (AMA). The nurse notifies the charge nurse, who tells the nurse that the provider has recommended restraining the client, if necessary, to keep her from leaving the hospital.
What is a nurse reinforcing?
A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses. Which of the following information should the nurses reinforce in the teaching? Another staff nurse describes how a reasonably prudent nurse would have performed under the same circumstances.
What is a newly licensed nurse?
A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client? Autonomy. A nurse is caring for a client who has anorexia nervosa.
What is the meaning of "reinforcing teaching" in nursing?
A nurse is reinforcing teaching about protecting client health information with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of confidentiality. Continued self-destructive behavior. A nurse is discussing restraints with a newly licensed nurse.
What is the Good Samaritan law?
The nurse performs CPR. Which of the following criteria is necessary for the Good Samaritan law to provide civil immunity for the nurse. Make sure the client understands that he is leaving against medical advise.
What is a nurse's role in a crisis?
A nurse is caring for a young adult client following the death of his wife due to a sudden aneurysm. The client feels paralyzed in his ability to cope with work and family responsibilities. The type of crisis the student is experiencing is: Situational. A nurse is caring for a depressed client who attempted suicide.
What is a nurse in counseling?
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as an example of the defense mechanism of: projection.
What is a nurse in mental health?
A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment? An older adult client who was voluntarily admitted. A nurse is assessing a parent who lost a 12-year-old child in a traffic accident 2 years prior to the visit.
What is a nurse's job?
A nurse is caring for a client who was admitted to the hospital in critical condition following a cerebrovascular accident. The client's daughted says to the nurse, "I wish I could stay, but I need to go home and see how my children are doing. I really hate to leave.".
What is a nurse assessment?
A nurse is assessing a parent who lost a 12-year-old child in a traffic accident 2 years prior to the visit. The nurse evaluates that the client is showing manifestations of dysfunctional grieving if the parent: leaves the child's room exactly as it was before the loss.
What is a nurse with renal calculi?
A nurse is caring for a client who has been admitted with renal calculi. List three (3) nursing interventions necessary to manage renal calculi in this client's care. -The nurse must strain the urine, manage pan, and increase their daily fluid intake. A client is diagnosed with Addisonian Crisis.
How to remove nitroglycerin patch?
Place the patch on a hairless area of skin (chest, back, or abdomen) and rotate sites. Remove old patch, wash skin with soap and water, and dry thoroughly before applying new patch. Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin. Be medication-free between 10 and 12 hrs daily.
What are contraindications for levothyroxine?
Contraindications are pregnancy, history of DVT and must stop three days prior to menstruation. A nurse has provided education to a client with hypothyroidism who has a new prescription for levothyroxine. What statements by the client would indicate they understand the instructions.