Answer: A, B, & C.
1. A client informs the nurse during the hospital
SAFE AND EFFECTIVE CARE
ENVIRONMENT
✚ Management of care
2. A Durable Power of Attorney for Health
Care is an example of (select all that
apply):
A. An advance directive.
B. A legal document that identifies a
surrogate decision-maker for the client’s
financial matters in the event that the
client becomes incapacitated.
C. A legal document that identifies a
surrogate decision-maker in the event
the client becomes incapacitated or
unable to make informed health care
decisions.
D. A legal document that becomes a
permanent part of the client’s medical
record.
The nurse should document the client’s
admission assessment that the client does not
statement in the client’s own words. The
have an advance directive, but designates the
nurse should provide the client with
daughter to make health care decisions in the
information on advance directives and
event that the client becomes incapacitated or
reassurance that there are hospital personnel
unable to make informed decisions. Which
to assist with completing the advance
nursing actions are appropriate for this client?
directive. The nurse who avoids inquiry about
Select all that apply.
a client’s advance directive is not serving the
client’s best interests. The nurse should
A. Document the client’s statement in the
explain to the client that the law requires all
client’s own words.
clients to be asked about the existence of an
B. Provide information on advance directives
advance directive at the time of hospital
to the client.
admission. Inquiring about a client’s advance
C. Inform the client that personnel are
directive does not indicate that the client’s
available to assist with completing an
health status is deteriorating or is expected to
advance directive if the client wishes to do
deteriorate. Preparing an advance directive
so.
ensures that the client’s wishes will be
D. The nurse inquiring about a client’s advance
followed in the event that the client is unable
directive could cause the client anxiety and
to make health care decisions.
concern, and should be avoided.
3. A client with a Do Not Resuscitate/Do Not
Answer: A, C, & D.
Intubate order in the medical record becomes
A Health Care Durable Power of Attorney is
unresponsive and a code blue is called. The
one example of an advance directive. Advance
code team arrives and the physician is
directives are documents signed by a
preparing to intubate the client. What action
competent person giving direction to health
should the nurse take regarding the DNR/DNI
care providers about treatment choices in
order?
certain circumstances. A Durable Power of
Attorney for Health Care is a legal document
A. Prepare the client for immediate
that identifies a surrogate decision-maker in
intubation. Assist the physician with the
the event the client becomes incapacitated or
intubation procedure as needed.
unable to make informed health care
B. Immediately inform the physician and code
decisions. The document becomes a
team of the client’s DNR/DNI order in the
permanent part of the client’s medical record.
medical record. C. Assist the code team
A legal document that identifies a client’s
with the code blue per Advance Care Life
surrogate for financial matters is incorrect
Support protocol.
because a Durable Power of Attorney for
D. Notify the physician and code team of the
Health Care identifies a surrogate decision-
client’s DNR/DNI order in the medical
maker for health care decisions only; this
record, but the physician responding to the
document does not designate a surrogate for
code blue will make the decision whether
financial matters.
or not to intubate the client.

Answer: B.
It is the nurse’s responsibility to know the
client’s code status and the treatment
wishes of the client when a DNR order is in
effect. The nurse must communicate this
information to the other health care
providers. A DNR order indicates that a
client does not want treatment in the
event of respiratory or cardiac arrest.
Providing treatment to a client who desires
no treatment is considered battery. The
nurse and health care personnel providing
treatment without the client’s consent are
liable for the treatment provided.
5. A client presents a Durable Power of
Attorney for Health Care designating the
client’s niece as the person to make health Answer: B.
care decisions for the client should the
client become incapacitated and unable to
make informed health care decisions. The
Durable Power of Attorney identifies the
niece as the:
A. Legal next of kin.
B. Health care proxy or surrogate decision- decision-maker for health care issues only.
maker for health care issues only.
C. Health care proxy or surrogate decision- surrogate decision-maker does not make
maker for health care and financial
issues.
D. Person responsible for the client’s
hospital bill.
4. A disoriented client is admitted to the med-surg
unit with a diagnosis of acute renal failure. The
physician orders a hemodialysis line to be placed to
facilitate acute hemodialysis. The client’s spouse
presents the nurse with an advance directive that
gives instructions that no hemodialysis treatment be
provided if the client becomes incapacitated and
unable to make informed health care decisions. What
is the appropriate immediate action for the nurse to
take at this time?
A. Inform the physician immediately of the advance
directive and the client’s wishes regarding no
hemodialysis treatment. Place a copy of the
advance directive in the client’s medical record.
B. Obtain consent from the client’s spouse for
placement of the hemodialysis line and for acute
hemodialysis.
C. Inform the physician immediately of the advance
directive and the client’s wishes regarding no
hemodialysis treatment.
D. D. Tell the client’s spouse to speak with the
physician in order to make an informed decision
on whether or not to proceed with hemodialysis.
A Durable Power of Attorney for Health
Care is an advance directive prepared by a
competent individual designating a proxy,
or surrogate decision-maker should the
client become incapacitated. This
document does not address a client’s legal
next of kin and identifies a surrogate
Designating a health care proxy or
the surrogate responsible for the client’s
health care costs.
Answer: A.
The physician should be informed
immediately if orders conflict with the
client’s wishes for treatment. A copy of
the advance directive should always be
placed in the client’s medical record.
Obtaining consent from the client’s
spouse for insertion of a hemodialysis line
and acute hemodialysis is incorrect
because these orders conflict with the
client’s treatment wishes. Providing
treatment to a client against the client’s
documented wishes is considered battery.
The advance directive is a legally binding
document outlining the client’s wishes for
treatment should the client become
incapacitated and unable to make
informed health care decisions.
6. A nurse is taking a client’s medical history in
the emergency room. The nurse asks if the
client has an advance directive. The client
responds by saying,” I have heard of advance
directives, but I do not have one. What is an
advance directive?” What is the nurse’s best
response to the client’s question?
A. An advance directive is a document that
specifies your wishes regarding your personal
effects and finances should you become
unable to make decisions.
B. An advance directive is a document that
specifies your wishes regarding health care
and your finances should you become
incapacitated.
C. An advance directive is a document similar to
a will, and specifies your wishes for burial
should you die during hospitalization.
D. An advance directive is a form of a living will.
It specifies your wishes regarding health care
and treatment options should you become
incapacitated.
 Answer: A & B.
Answer: D. Both the Durable Power of Attorney for Health
Care and Living Will are examples of advance
An advance directive is a legal document
directives. Advance directives are documents
prepared by a competent individual that
7. Which documents are correctly prepared by a competent individual that
specifies what treatments, if any, the client specify the client’s wishes regarding health
desires should the client become identified as advance directives? care treatments, resuscitation and life support
incapacitated or unable to make informed Select all that apply. measures, end-of-life care, and other specific
health care decisions in the future. The wishes of the client should the client become
document includes wishes regarding A. Durable Power of Attorney for incapacitated in the future. The Durable
resuscitation measures, withdrawing Health Care. Power of Attorney for Health Care identifies a
treatment and life support, and end-of-life B. Living Will. health care proxy or surrogate decision-
care. An advance directive does not maker for the client should the client be
C. Last Will and Testament. unable to make informed health care
address client personal effects, finances, or
burial wishes. These might be included in a D. Client’s Bill of Rights.
decisions. A Last Will and Testament goes
into effect after the client is deceased. The
last will and testament, but are not part of client’s Bill of Rights outlines the rights of a
an advance directive. client receiving medical treatment and is not
an advance directive.

9. It is the nurse’s responsibility to act as

8. Which statements are true regarding
advance directives? Select all that apply. Answer: B, C, & D.
Advance directives are legally
A. Advance directives are used as binding documents, which should be
guidelines for client treatment should
placed in the client’s medical record.
the client’s family deem them
The document is prepared by the
necessary.
client detailing wishes for treatment
B. Advance directives are legally binding
documents. should the client become unable to
make informed health care
C. Advance directives should be placed
in the client’s medical record. decisions. The family’s wishes for
D. Advance directives specify a client’s treatment of the client do not take
wishes for health care treatment the place of or negate the client’s
should the client become advance directive.
incapacitated.
client advocate. What is the definition of
client advocacy?
A. Advocacy is to inform the client to
accept medical treatments that conflict
with the client’s beliefs or health care
wishes because the health care team
knows what is best for the client.
B. Advocacy is the act of arguing or
negotiating on behalf of a particular
issue, idea, or person.
C. Advocacy is providing assurance to the
client that a surgical procedure will be
successful and will achieve the desired
outcome.
D. Advocacy is informing the client that the
client does not have the right to refuse
medical treatment in certain
circumstances where doing so is
detrimental to the client’s health.
Answer: B.
Advocacy is the act of arguing or
negotiating on behalf of a particular
issue, idea, or person. The nurse plays
an important role as the client’s
advocate. Informing a client that they
should accept treatment conflicting with
the client’s beliefs or health care wishes
demonstrates lack of advocacy.
Assurance about the outcome of a
pending surgical procedure makes a false
claim to the client; the outcome is not
guaranteed. Clients have the right to
refuse proposed medical treatment, and
to be informed of the medical
consequences of their decisions.
11.The nurse sees that the new medication
noted in a recent medication order is on
the client’s list of allergies. In the role of
patient advocate, what actions should the
nurse take to ensure client safety? Select
all that apply.
A. Document the medication with times
and doses to be given, then administer
the medication as ordered.
B. Notify the physician immediately that
the medication ordered is on the client’s
list of medication allergies.
C. C. Discontinue the medication on the
client’s medication administration
record.
D. Check the client’s allergy band against
the list of client allergies documented in
the medical record.
10.An intubated client admitted to the
intensive care unit appears anxious and
fearful of the equipment in the room. The Answer: A.
nurse observes this and takes the time to The nurse acts as a client advocate
explain each piece of equipment and its by providing information to the
role in providing care to the client. This is
client to alleviate fear of the
an example of the nurse acting as a client
advocate by:
unfamiliar equipment and to foster
a sense of security. This question
A. Providing information to the client and addressing client advocacy is not
fostering a sense of security. related to client privacy, safety, or
B. Promoting client privacy. the client’s health care treatment
C. Assuring client safety.
wishes.
D. Ensuring the client’s wishes for
treatment are followed.
12. An elderly client from a long-term care
facility arrives in the emergency department
by ambulance with altered level of
Answer: B, C, & D. consciousness. The physician instructs the
Administration of a medication that the respiratory therapist to prepare for
client is allergic to could result in harm to intubation. The nurse discovers a Do Not
the client. The physician should be notified Resuscitate (DNR) bracelet on the client’s
immediately of a medication order that wrist during the initial assessment. Which
conflicts with the client’s list of medication immediate action should the nurse take to
allergies. The medication should be appropriately advocate for this client?
discontinued on the medication
A. Assist the respiratory therapist to prepare
administration record, and the client’s
the client for immediate intubation.
allergy band checked against the list of
B. Attempt to contact the client’s family.
allergies documented in the medication
C. Notify the physician immediately of the
record for accuracy client’s DNR bracelet.
D. Notify the dietician immediately of the
client’s DNR bracelet.
Answer: C.
The nurse should immediately notify the
physician upon discovering the client’s
DNR bracelet. The DNR bracelet is an
indicator that the client or their health care
surrogate decision maker desire the
client’s wishes be known regarding health
care treatment and resuscitation. Ignoring
the DNR bracelet and assisting the
respiratory therapist to prepare for
immediate intubation is incorrect because
the client has a DNR notification on their
person and should not be intubated.
Reaching the client’s family allows the
family to be with the client and to provide
additional health history, but this should
be done after notifying the physician.
Notifying the dietician of the client’s DNR
bracelet is not appropriate and delays
addressing the immediate problem.
14. The nurse has a duty to act as
client advocate. Failure to do so
could result in possible (select all
that apply):
A. Life-threatening complications for
the client.
B. Legal action against the nurse
and/or health care facility.
C. Suspension of license or loss of
license to practice nursing.
D. Suspension of license or loss of
license to practice medicine.
13. The client’s physician orders a blood
transfusion for a client whose hemoglobin level is
5.0 mg/dL. The nurse informs the client that
blood will be drawn for a type and cross-match
prior to the blood transfusion. The client avoids
eye contact with the nurse, then states,” I am a
Jehovah’s Witness. I thought that was on my
chart.” The nurse demonstrates the role of client
advocate by which response to the client?
A. Your hemoglobin is very low. I can notify
your physician to discuss with you how
important it is for you to receive the blood.
B. I will place that information in your medical
record. You have the right to refuse
treatment which conflicts with your beliefs.
Would you like to speak with your physician
about other treatment options?
C. Your physician ordered this blood transfusion
because your hemoglobin is low. You should
do as your physician recommends.
D. Why do Jehovah’s Witnesses choose not to
receive blood transfusions?
Answer: A, B, & C.
The role of client advocate is a nurse’s
responsibility. Failure to act as a client
advocate could result in a range of
complications for the client, including life-
threatening or life ending complications.
Failure to act as client advocate exposes
the nurse to liability, potential legal action
against the nurse and/or health care
facility, and potential suspension or loss of
license to practice nursing. Practicing
medicine outside the scope of nursing
could also result in potentially life-
threatening complications for the client,
legal action against the nurse and/or
health care facility, and potential
suspension or loss of license to practice
nursing.
Answer: B.
The nurse as client advocate supports the
client’s beliefs and treatment wishes.
Reaffirming that the client’s beliefs and
treatment wishes are important to the
health care team promotes a sense of
security and respect for the individual.
The information that the client is
Jehovah’s Witness who refuses blood
products should be placed prominently in
the medical record per the facility’s policy
to avoid further confusion. Providing
reasonable health care treatment choices
that do not conflict with the client’s beliefs
is the responsibility of the
multidisciplinary health care team.
15.A client is scheduled for open heart surgery. The
nurse enters the client’s room to perform preoperative
teaching and finds the client crying. The client states,” I
really do not want to go through open heartsurgery.I
have told my children this,but they still want me to go
through with the surgery. I don’t know what to do.
”What is the best response for the nurse as client
advocate?
A. Your children are correct. The open heart surgery is
the best thing for your health.
B. From what you are telling me, you have some
genuine concerns about the open heart surgery, and
you feel as if your children are not addressing your
concerns. You and your family will need to resolve
this before you go to surgery.
C. I can contact your physician so that you can discuss
your concerns regarding open heart surgery.
D. From what you are telling me, you have some
genuine concerns about the open heart surgery, and
you feel as if your children are not addressing your
concerns. It is important to me and to the health
care team that we follow your wishes regarding
surgery and treatment. Would you feel comfortable
telling me more about your concerns and your
children’s attitudes toward the surgery?
Answer: D.
The nurse has a duty to advocate for the client if
there is a discrepancy between the care or
proposed care and the client’s wishes regarding
treatment. It is important to acknowledge the
client’s feelings, and to demonstrate compassion
and a willingness to understand. This presents an
opportunity for additional communication to help
answer some of the client’s questions, or set up a
client-family conference with the client, the client’s
family, and the physician. When the nurse agrees
with the client’s children, the nurse ignores the
client’s feelings and does not address the issue of
the client’s treatment wishes. When the nurse
restates the client’s comment without investigating
the client’s concerns, the issue goes unresolved.
Offering only to contact the physician is an
incomplete solution and hints of the nurse not
taking responsibility to investigate the client’s
concerns. The client may be uncomfortable
addressing concerns with the physician before
resolving the issue of treatment wishes with family
members.
17. The nurse knows that case management
is:
A. The process of managing the outcomes of
client care by quality improvement
measures and involvement of the
interdisciplinary team.
B. The process of client assessment and direct
client care by the primary nurse, utilizing
the nursing process and nursing diagnoses
to guide delivery of care.
C. The process used by the health care
facility’s legal or risk management
department to evaluate legal claims filed
against the facility or employees of the
facility
D. The process of overseeing and organizing
client care in collaboration with the client’s
primary health care provider and consulting
physicians.
16.A client seen in the emergency department
for a femur fracture is receiving discharge
instructions for cast care, use of crutches, and Answer: B & C.
follow-up care. The client complains of chest The nurse failed to act as a client
heaviness to the nurse. The nurse assures the advocate by neglecting to take
client that the chest heaviness is probably appropriate action regarding the client’s
caused by sore chest muscles from using the symptoms, neglecting to document the
crutches, and instructs the client to sign the symptoms, and failing to report the
discharge instructions. The nurse neglects to
client’s complaints of chest heaviness to
document the complaints of chest heaviness
nor does the nurse notify the physician. The
the physician for further evaluation. The
nurse failed to implement which measure to client’s privacy is not an issue in this
intervene on the client’s behalf? Select all that question. Diagnosing the cause of the
chest heaviness is not in the nurse’s
apply.
scope of practice, but notifying the
A. Failure to preserve client privacy. physician of the client’s complaints and
B. Failure to act as a client advocate. symptoms is the nurse’s responsibility.
C. Failure to take appropriate action.
D. Failure to appropriately diagnose.
Answer: D.
Case management is the process of
18. The nurse case manager knows case
overseeing and organizing client care in
management is an example of which
collaboration with the client’s primary care
client care model?
physician or health care provider,
consulting physicians, and ancillary care
A. The outcomes evaluation model of
providers. The process of managing client
care.
care outcomes by quality improvement
B. The protocol management model of
measures is a description of outcomes
care.
management. Client assessment and direct
C. The interdisciplinary care management
client care by the primary nurse is a
model.
description of bedside primary nursing.
D. The risk assessment care
The process used to evaluate legal claims
management model.
against the facility or its employees is a
description of risk management.
Answer: C.
Case management is an example of the
interdisciplinary care management model.
Case management is the process of
overseeing and organizing client care in
collaboration with the client’s primary care
physician or health care provider,
consulting physicians, and ancillary care
providers. The outcomes evaluation model
of care, the protocol management model
of care, and the risk assessment care
management model are fictitious client
care models. Outcomes evaluation and risk
management are two separate methods of
evaluating and ensuring safe delivery of
client care, but are not care management
models.
20. The nurse knows that the case Answer: A.
management model of client care is: Case management
A. Implemented throughout a client’s
entire hospital stay or episode of
illness.
B. Implemented only during a client’s
acute phase of illness.
C. Implemented if a client is unable to
recover from an episode of illness
within the expected time frame of
the client’s specific disease process.
D. Focused on the cost of care
delivered to a client.
19. The case management nurse
focuses on overseeing and organizing
client care. Goals of the case
management model of client care
include (select all that apply):
A. Providing cost-effective care to the
client.
B. Providing appropriate care to the
client in a timely manner.
C. Providing high-quality care to the
client.
D. Providing health care services to
the client at no cost.
is implemented
throughout a client’s entire hospital stay or
episode of illness, and focuses on the
collaboration of all health care personnel
involved in the care of the client. Case
management implemented only during a
client’s acute phase of illness and only if a
client is unable to recover from an episode
of illness in a timely manner are both
incorrect because case management is an
ongoing process from a client’s admission
throughout the entire episode of illness
and into recovery. Cost-effective care is
only one goal of case management.
Answer: A, B, & C.
The primary goals of the case
management model of interdisciplinary
client care are to provide high-quality,
appropriate, and cost-effective care to
each client in a timely manner.
Providing health care services to the
client at no cost is not a case
management function. The
constitution guarantees every citizen
equal access to health care services; it
does not guarantee free health care,
although this is a common
misunderstanding.
21.The role of a case manager in client care
is multifaceted and includes coordination of
care among all health care personnel
involved in the care of a client during an
episode of illness, from admission to
recovery. Responsibilities of the case
manager include (select all that apply):
A. Facilitating referrals for client care to
members of the multidisciplinary health
care team.
B. Supervising the client’s discharge
planning process.
C. Providing direct nursing care to the
client by the case management team
D. Providing the client and the client’s
family and caregivers with the
appropriate information and resources
to meet the client’s needs after
discharge from the health care facility.

Answer: A, B, & D.
Case management roles include
facilitating referrals to members of the
multidisciplinary health care team,
supervising the discharge planning
process, and providing information and
resources to the client and the client’s
family and caregivers to meet the
client’s needs after discharge from the
health care facility. Direct nursing care
to the client by the case management
team is incorrect because case
managers play a coordination role in
client care, but generally do not engage
in direct hands-on, day-to-day care of
the client.
22.A client’s primary physician writes an order to
prepare the client for discharge from the hospital
the next day. The client expresses concern to the
nurse about the ability to provide self-care and
perform daily activities of living after arriving home
from the hospital. Which member of the health care
team should the nurse contact to provide
information and assist the client with resources for
an effective discharge plan?
A. The client’s primary care physician, who will
coordinate care and resources for an effective
discharge plan individualized to the client’s
needs.
B. The client’s case manager, who will coordinate
care and provide information and resources for
an effective discharge plan individualized to the
client’s needs.
C. The client’s physical therapist, who will instruct
the client to safely navigate the home
environment after discharge.
D. The client’s occupational therapist, who will
evaluate the client’s ability to perform selfcare
and activities of daily living.
Answer: B.
The client’s case manager should be
contacted regarding the order for pending
discharge from the health care facility. The
case manager coordinates care and provides
the client with information and resources for
an individualized discharge plan. The primary
care physician does not assume the case
management role in the acute care facility
setting, and generally does not coordinate the
discharge planning process. The physical and
occupational therapists are members of the
multidisciplinary team, but do not coordinate
discharge planning. They might assist in
evaluation of the client as part of the
discharge plan, but they are not responsible
for case management and coordination of
overall client care for discharge from the
facility.

24.Case managers use clinical pathways in

23.The responsibilities of a case
manager are often performed by a
nurse. A case manager may also be A client’s case manager can be a
a(n) (select all that apply):
A. Allied health care provider.
B. Social worker or patient-family primary care physician generally
services care provider.
C. Primary care physician.
D. Primary care provider.
the process of evaluating and coordinating
client care with the multidisciplinary team. A
clinical pathway is:
A. A decision-making flowchart that uses the
Answer: A, B, & D.
“if, then” method to address client
responses to treatment.
nurse, allied health care B. A set of practice guidelines developed by
a professional medical organization such
professional, social worker, or the as the American Nurses Association or the
client’s primary care provider. The American College of Surgeons.
C. A standardized set of preprinted physician
orders for client care, which expedite the
does not assume the role of the order process and can be customized to
client’s case manager. individual clients.
D. A set of practice guidelines based on a
specific client diagnosis, which provides
an overview of the multidisciplinary plan
of care.

Answer: D.
A clinical pathway is a set of
multidisciplinary client care guidelines
for a specific diagnosis or condition. It
can be used to guide the plan of care
and to identify deviations from the plan
of care. A decision-making flowchart
that uses the “if, then” method is the
definition of an algorithm. A set of
practice guidelines developed by
professional medical organizations is
the definition of a practice guideline. A
standardized set of preprinted
physician orders is the definition of a
physician preprinted order set.
25.The nurse performs an admission assessment on a
client who is directly admitted to the hospital from the
physician’s office. The client is worried and distracted,
Answer: A.
and explains to the nurse that because of the direct
admission from the physician’s office there was no The case manager should be involved in
preparation to be away from home. The client is coordinating the client’s care from the date of
concerned about the length of stay, pets that need care, admission in order to help the client navigate
and bills that require payment. Which response from the unexpected situations like a last-minute
nurse would be most helpful to this client?
A. An unexpected hospital admission can be very stressful. hospital admission. The ability to make
I will notify the case manager who specializes in helping telephone calls to notify family and friends
clients with situations like yours. There is a telephone will help to decrease the client’s sudden sense
here beside your bed so that you can contact your
of isolation from normal daily life, loss of
family and friends. Is there anything that I can do for
you right now to help you? control, and anxiety. Although sleeping
B. I know how you feel. I will be sure to tell your night medication may be warranted for this client,
nurse in shift report that you will probably need
something to help you sleep tonight.
the nurse neglects to offer a viable solution to
C. An unexpected hospital admission can be very stressful. the client’s problem. Calling the physician is
Is there anyone who I can call for you? You also have a inappropriate, as the client requires
telephone here at your bedside so that you can contact hospitalization due to the swift nature of the
your family and friends.
admission.
A. D. I can call your physician for you and ask if you could
go home today, then schedule another date for your
hospital admission.

27.A client asks to view the client’s

medical records. Which response made by
26.Two health care personnel are the nurse is most appropriate?
talking about a client by name in the
facility elevator. The conversation is A. You will need to retain an attorney, and
overheard by visitors in the same Answer: B. then have the attorney contact the
elevator. Which client right is violated? Health care information is privileged. medical records department in order to
The conversation between the health view your medical records.
B. You may only view your medical
A. The client’s right to review their care personnel in the elevator
records after you have been discharged
medical records. violates the client’s right to privacy from the health care facility.
B. The client’s right to privacy. and could subject the personnel to C. You have the right to view the medical
C. The client’s right to have an liability. records that pertain to your care, and
advance directive. to have those records explained or
D. The client’s right to refuse interpreted for you if necessary.
treatment. D. D. Why do you want to view your
medical records? Are you planning to
file a lawsuit?

Answer: C.
According to the Patient’s Bill of Rights, the
client has the right to view medical records
pertaining to the client’s care and to have
those records explained if necessary. The
client does not need to retain an attorney
in order to view the medical records unless
there is some circumstance where viewing
the records is prohibited by law. The client
does not need to wait until after discharge
from the facility to view the medical
records. Challenging the client’s desire to
view the medical records is an
argumentative, antagonistic, and
unprofessional response from the nurse.
28.A client’s surgeon discusses the option of
surgery and related benefits and risks with the
client and the client’s family. Which statement
by the client demonstrates the client
understands the right to make decisions
regarding treatment and the proposed plan of
care?
A. The surgeon says that I need this
operation, so I guess I had better go ahead
and have it.
B. B.I am not so sure that I want to have
major surgery, but my family will not even
talk about other options.
C. I am afraid to tell my surgeon about my
hesitation to have this operation. The
surgeon will think I am being foolish, so I
didn’t mention it.
D. The surgeon explained the risks and
benefits of the operation to me, but the
decision to have the surgery or to explore
other treatment options is mine.