A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?

The daughter will make all of the client’s health care decisions.

No extraordinary means, such as cardiopulmonary resuscitation, will be initiated.

The directive takes effect only if the client is incapable of personally making health care decisions.

The closest relative, such as the spouse, must still be consulted before the daughter in making health care decisions.

Answer and Explanation

The Correct Answer is C

The directive takes effect only if the client is incapable of personally making health care decisions. This statement demonstrates an understanding of health care proxy and care because it reflects the definition of a health care proxy as a person who can make health care decisions for the client only when the client is unable to communicate these themselves.

Choice A is wrong because the daughter does not have the authority to make all of the client’s health care decisions, only those that the client has not specified in advance or that are not covered by the living will.

Choice B is wrong because no extraordinary means, such as cardiopulmonary resuscitation, will be initiated only if the client has expressed this preference in a living will or a do-not-resuscitate order.

Choice D is wrong because the closest relative, such as the spouse, does not have to be consulted before the daughter in making health care decisions, unless the client has designated them as an alternate proxy.

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Correct Answer is C

Explanation

This statement requires further follow-up because it indicates that the client may have poor sleep quality or quantity, which can affect their health and well-being. According to, the main components of the sleep history include defining the specific sleep problem, assessing the disorder’s clinical course, differentiating between sleep disorders, evaluating the sleep-wakefulness patterns, questioning the bed partner, and obtaining a family history of sleep disorders.

Choice A is wrong because falling asleep after about 15 minutes is normal and indicates good sleep hygiene.

Choice B is wrong because waking up to urinate once each night is not uncommon in older adults and does not necessarily disrupt their sleep continuity.

Choice D is wrong because having a regular nighttime routine is beneficial for promoting relaxation and preparing for sleep.

A. Slice of cheese pizza, french fries, and a glass of orange juice. B. Cheeseburger, potato chips, and a glass of soda. C. Chicken breast, green beans, and a glass of milk. D. Spaghetti and meatballs, a roll, and chocolate pudding.

Correct Answer is C

Explanation

Chicken breast, green beans, and a glass of milk. This is because chicken breast is a good source of protein, which is essential for wound healing. Green beans are rich in vitamin C, which helps with collagen synthesis and immune function. Milk is a good source of calcium and vitamin D, which are important for bone health and healing.

Choice A is wrong because cheese pizza and french fries are high in fat and sodium, which can increase inflammation and delay wound healing. Orange juice is high in sugar, which can also impair wound healing and increase the risk of infection.

Choice B is wrong because cheeseburger and potato chips are also high in fat and sodium, and have similar effects as choice A. Soda is also high in sugar and can cause dehydration, which can slow down wound healing.

Choice D is wrong because spaghetti and meatballs are high in refined carbohydrates, which can spike blood sugar levels and impair wound healing.

A roll is also a refined carbohydrate and does not provide much fiber or nutrients. Chocolate pudding is high in sugar and fat, and can also worsen wound healing.

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A client with terminal cancer is admitted to hospice care. The daughter is documented as the client’s health care proxy agent. Which statement made by the nurse demonstrates an understanding of health care proxy and care?

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A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?