A charge nurse is teaching a group of nurses about the purpose of a living will. Which of the following information about living wills should the charge nurse include in the teaching?
Provides protection against malpractice
Designates a health care surrogate to make health care decisions
Documents that the client gave informed consent
Allows the client to refuse life-sustaining treatments
The Correct Answer is D
Choice A reason: A living will does not provide protection against malpractice. It is a legal document that expresses the client's wishes regarding medical care in the event of a terminal illness or injury.
Choice B reason: A living will does not designate a health care surrogate to make health care decisions. A health care surrogate is a person who is authorized by the client or the court to make health care decisions for the client when the client is unable to do so.
Choice C reason: A living will does not document that the client gave informed consent. Informed consent is the process of obtaining the client's voluntary agreement to a proposed treatment or procedure after providing adequate information about the benefits, risks, and alternatives.
Choice D reason: A living will allows the client to refuse life-sustaining treatments. This is the main purpose of a living will, as it gives the client the right to self-determination and autonomy over their own body and health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This response is inappropriate because it violates the client's right to privacy and confidentiality. The nurse should not disclose any information about the client to anyone without the client's consent, unless it is required by law or for the client's safety.
Choice B reason: This response is inappropriate because it shows a lack of accountability and professionalism. The nurse should not dismiss the visitor's concern or pass the responsibility to another nurse. The nurse should either provide the information if they have it or direct the visitor to the appropriate source.
Choice C reason: This response is appropriate because it respects the client's privacy and confidentiality, while also addressing the visitor's concern. The nurse should inform the visitor that they will contact the nurse who is taking care of the client and ask them to come and talk with the visitor.
Choice D reason: This response is inappropriate because it violates the client's privacy and confidentiality. The nurse should not access the client's medical record without a valid reason or the client's consent. The nurse should only check the medical record if they are involved in the client's care or have a need to know the information.
Correct Answer is C
Explanation
Choice A reason: This is not the correct choice because training LPNs to reinforce teaching with clients using a standardized teaching plan is a possible solution, but not the first step. The nurse manager should first identify the root cause of the problem before implementing any interventions.
Choice B reason: This is not the correct choice because including documentation of client education as part of unit nurses' annual performance evaluation is a way to monitor and evaluate the staff's performance, but not a way to improve it. The nurse manager should first address the barriers and challenges that prevent the staff from documenting client education effectively.
Choice C reason: This is the correct choice because determining factors that interfere with the documentation of client education is the first step in the quality improvement process. The nurse manager should use data analysis, staff feedback, and observation to find out the reasons for the low documentation results, such as lack of time, knowledge, skills, or resources.
Choice D reason: This is not the correct choice because offering incentives for the staff once the unit's results are back in adherence with the benchmark is a way to motivate and reward the staff, but not a way to solve the problem. The nurse manager should first implement evidence-based strategies to improve the documentation of client education, such as providing education, feedback, and tools.
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