A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?

Document in the client's medical record if the client has advance directives.

Ensure the client has an attorney to contact for assistance with end-of-life documents.

Provide end-of-life education if the client has a terminal illness.

Provide the client with a list of eligible individuals who can serve as a health care proxy.

Answer and Explanation

The Correct Answer is A

A. The Patient Self-Determination Act (PSDA) requires health care facilities to ask clients about advance directives upon admission and document their status in the medical record. This ensures that the client’s treatment preferences are known and respected.
B. Ensuring the client has an attorney is not a requirement of the PSDA. Clients may choose legal assistance, but it is not mandated by the act.
C. Providing end-of-life education is beneficial but not specifically required by the PSDA. The act focuses on informing clients of their rights regarding advance directives.
D. The PSDA does not require facilities to provide a list of eligible health care proxies. Instead, it ensures clients are informed of their right to appoint one.

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Correct Answer is C

Explanation

A. Plan for your son to meet his sister for the first time at home. This is incorrect because allowing the sibling to visit the newborn in the hospital can help with early bonding and ease the transition.
B. Give your son plenty of "alone time" with his sister. This is incorrect because young children require supervision around infants to ensure safety.
C. Give your son a little gift from his new sister. This is correct because presenting a small gift from the baby helps the older sibling feel included and fosters a positive association with the new arrival.
D. Hold your daughter when your son first meets her. This is incorrect because allowing the older sibling to greet the parent first before introducing the baby can help them feel reassured and less displaced.

A. Yogurt and granola B. Wheat toast with butter C. Pancakes with syrup D. Banana and nut muffin

Correct Answer is C

Explanation

A. Yogurt and granola is not appropriate because granola is hard and can be difficult to swallow, increasing the risk of aspiration.
B. Wheat toast with butter is not appropriate because toast is dry and can be difficult to chew and swallow, posing a choking hazard.
C. Pancakes with syrup are soft and easy to chew, making them a suitable choice for a mechanically altered diet. The syrup adds moisture, further aiding swallowing.
D. Banana and nut muffin is not appropriate because muffins can be dry and crumbly, and nuts are a choking hazard for clients with dysphagia.

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A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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