Topic Breakdown of MOH Nurse Exam

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MOH Nurse Sample Test

1 of 5

Of the following, who is responsible for ensuring a copy of a patient’s advanced directive is in the patient’s medical record?

Correct Answer:

nurse.
the question seeks to identify who is primarily responsible for ensuring that a patient’s advanced directive is included in their medical record. an advanced directive is a legal document that outlines a patient's preferences regarding medical treatments and interventions in scenarios where they are unable to make decisions for themselves. this can include directives like a living will or durable power of attorney for healthcare.

the correct answer to this question is "nurse." nurses play a crucial role in the management and updating of patient records. they are responsible for various tasks related to patient care documentation, one of which includes ensuring that all necessary and legally binding documents, such as advanced directives, are present and correctly filed in the patient’s medical record.

this responsibility is significant because the presence of an advanced directive can critically guide the decisions made by healthcare providers, especially in emergency or high-stakes situations where the patient is incapacitated and unable to communicate their wishes. by securing the directive in the medical record, nurses help ensure that the patient’s treatment preferences are respected and followed. additionally, it is part of the nurse's duties to communicate the existence and contents of the advanced directive to all relevant parties involved in the patient's care, including the attending physician and other healthcare professionals.

moreover, as part of this responsibility, nurses may also need to coordinate with the health services department to ensure that a copy of the advanced directive is accessible in different areas of service provision within a healthcare facility. this might be necessary in large hospitals where multiple departments might be involved in a patient's care, ensuring that the directive follows the patient through various levels of care.

in summary, the nurse's role in managing a patient's advanced directive is pivotal. it involves ensuring the document's presence in the medical record, communicating its existence to the healthcare team, and coordinating with various departments to ensure the directive is honored across all touchpoints of care. this comprehensive approach helps safeguard the patient's autonomy and ensures that medical care aligns with their stated preferences.