An RN’s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN’s teaching to the client?

Correct Answer: C

Rationale: Rationale for Correct Answer C: 1. In terminal cases, it's crucial for the healthcare provider to discuss DNR orders with the client and family to ensure understanding and consent. 2. The decision to implement a DNR order should always involve the client and their family to respect their wishes. 3. This statement emphasizes the importance of communication and shared decision-making in end-of-life care. Summary: A: Incorrect - This statement is about the clinical definition of death, not about DNR orders. B: Incorrect - While physicians can write DNR orders, the involvement of the client and family is essential. D: Incorrect - DNR orders do not require a court decision; they are typically based on the client's wishes and discussions with healthcare providers.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Prejudice can lead to discrimination in healthcare access. Different socioeconomic status can limit affordability of healthcare services. Differences in language can hinder effective communication and understanding of healthcare information. All three factors contribute to barriers in healthcare access, affecting individuals from diverse backgrounds. By selecting D, we acknowledge the multifaceted nature of barriers to healthcare in a culturally diverse society.

Correct Answer: C

Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.

Correct Answer: D

Rationale: The correct answer is D because managers always have legitimate power. This is due to their formal position within an organization, giving them the authority to make decisions, allocate resources, and direct the work of subordinates. This power is typically designated by the organization's hierarchy and structure. Choice A is incorrect because leaders can possess different types of power, such as referent or expert power, not just legitimate power. Choice B is incorrect because while leaders and managers have distinct roles, some individuals can excel in both capacities. Choice C is incorrect because managers are expected to exhibit leadership qualities in addition to their managerial responsibilities.

Correct Answer: C

Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication act as a restraining force, hindering the flow of information and causing conflicting directions among the staff. A restraining force limits the ability of individuals or groups to achieve their goals by imposing obstacles or constraints. Opposing force (A) implies a force in direct opposition, which is not the case here. Driving force (B) typically motivates action rather than restricts it. Restrictive force (D) is similar to restraining force but lacks the specific connotation of limiting communication in this context.