6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so”

“You should appoint a health care proxy before undergoing an invasive procedure”

“It is necessary for an attorney to approve your health care proxy”

Answer and Explanation

The Correct Answer is B

a.   This is incorrect because a health care proxy doesn't necessarily have to be a family member. It can be any person chosen by the individual.
b.   This is the correct response because it accurately describes the role of a health care proxy, which is to make decisions for the individual when they are unable to do so themselves.
c.   This is incorrect because appointing a health care proxy is not contingent upon undergoing an invasive procedure.
d.   This is incorrect because the involvement of an attorney is not necessary to appoint a health care proxy.

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Correct Answer is B

Explanation

a. While alerting the infection control department is important, directly addressing the issue with the involved personnel should be the initial action.
b. Discussing the issue with the assistive personnel (AP) allows for immediate clarification of the protocol and provides an opportunity to correct the behavior.
c. Reinforcing facility protocols at a staff meeting may be necessary but should not be the first step when immediate action is required.
d. Notifying the unit manager is important, but addressing the issue with the AP directly is the first step in resolving the situation and preventing future occurrences.

A. Assault B. Libel C. Battery D. False imprisonment

Correct Answer is C

Explanation

a. Assault: Assault is the threat of harm to another individual, such as threatening to administer the injection against the client's will. However, since the nurse actually administers the injection, it does not constitute assault.
b. Libel: Libel refers to a false statement that is written and published, which is not relevant in this scenario.
c. Battery: Battery involves the unauthorized or harmful physical contact with another individual, such as administering the injection without the client's consent.
d. False imprisonment: False imprisonment occurs when an individual is unlawfully restrained or confined. While the client's movement may be restricted by administering the injection, the primary issue here is the unauthorized physical contact, making battery the more appropriate choice.

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6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Correct Answer is C

Explanation

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