A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?

The nurse has witnessed the client's signature on the form

The nurse has assessed the client's knowledge of alternative treatments.

The nurse has discussed the risks of ECT with the client

The nurse has provided information about the benefits of ECT.

Answer and Explanation

The Correct Answer is A

A. The nurse has witnessed the client's signature on the form: The nurse’s signature indicates they witnessed the client voluntarily sign the consent form. The nurse does not provide information but confirms that the client signed without coercion.
B. The nurse has assessed the client's knowledge of alternative treatments: Assessing the client’s knowledge of alternatives is typically the provider’s responsibility, not the nurse’s. The nurse’s role is to ensure that the client signed the form voluntarily.
C. The nurse has discussed the risks of ECT with the client: Discussing risks is the provider’s responsibility. The nurse’s role is to observe that the client is signing the form after receiving adequate explanation of risks from the provider.
D. The nurse has provided information about the benefits of ECT: Providing information on benefits is the provider’s role. The nurse can clarify any doubts, but the provider must explain the benefits of the treatment before consent is given.

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Correct Answer is C

Explanation

A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.

A. The client does not recognize their partner, B. The client places their shoes on the wrong feet. C. The client is unable to remember their personal history D. The client engages in wandering

Correct Answer is D

Explanation

A. The client does not recognize their partner: While this is concerning, it is a common symptom of Alzheimer's disease as it progresses. However, it is not immediately life-threatening or a direct risk to the client’s safety.
B. The client places their shoes on the wrong feet: This is a typical manifestation of cognitive decline in Alzheimer's disease. While it may affect the client's independence, it is not an urgent issue that requires immediate intervention compared to other symptoms.
C. The client is unable to remember their personal history: Memory loss, especially related to personal history, is a hallmark symptom of Alzheimer's disease. Although it affects the client's cognitive function, it is not a crisis situation requiring priority intervention.
D. The client engages in wandering: Wandering is the priority concern in this scenario. It poses a significant safety risk, as the client may become lost, confused, or injured. Ensuring the client's safety by addressing wandering behavior is essential in managing Alzheimer's disease.

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A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?

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Naxlex Comprehensive Predictor Exams

A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

Correct Answer is C

Explanation

A nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse identity as the priority?

Correct Answer is D

Explanation

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