Question

provider at the end of our discussion to advise and assist her.

ava: um, why are you talking to me like that? im her daughter! audio coming soon

the correct response to ava in this situation is \only a provider can assess a patients mental readiness to sign legal documents. mrs. oconnor has the last word on whether she is requesting a dnr. as this is her request, i will call in a provider at the end of our discussion.\
what are three ways this response represents better nursing practice?

Explanation:

Identify patient autonomy

The response respects the patient's right to self-determination regarding her own medical care.

Recognize scope of practice

The nurse correctly identifies that assessing cognitive capacity for legal decisions lies with the provider.

Maintain professional boundaries

The response addresses the family member's concern while keeping the focus on the patient's wishes.

Answer:

1. Upholds Patient Autonomy: It respects Mrs. O'Connor's right to make her own decisions regarding her DNR status, prioritizing the patient's wishes over family preferences.
2. Adheres to Scope of Practice: It correctly identifies that assessing a patient's mental capacity to sign legal documents is a provider's responsibility, not a nurse's.
3. Establishes Professional Boundaries: It clearly and calmly communicates the legal and clinical boundaries to the daughter while maintaining a professional, non-defensive tone.