A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

“You only need to provide a copy to your family."

"Advance directives are not needed for individuals who have a mental illness."

"Giving you legal advice about advance directives is outside my scope of practice."

"You should provide a copy to your providers, family members, and lawyer."

Answer and Explanation

The Correct Answer is D

A. "You only need to provide a copy to your family." While family members should have a copy, they are not the only ones who need it. Healthcare providers and legal representatives should also have access.

B. "Advance directives are not needed for individuals who have a mental illness." Clients with mental illness can and should have advance directives, especially regarding psychiatric treatment preferences.

C. "Giving you legal advice about advance directives is outside my scope of practice." While nurses cannot provide legal advice, they can educate clients on the importance of advance directives and who should receive a copy.

D. "You should provide a copy to your providers, family members, and lawyer." Advance directives should be shared with healthcare providers, family members, and legal representatives to ensure they are followed in case of a crisis.

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Correct Answer is D

Explanation

A. Orientation phase : The orientation phase is when trust begins to form but is not yet solidified.

B. Identification phase: During this phase, the client begins to work with the nurse but has not yet fully accepted interventions.

C. Resolution phase: This phase is the termination of the nurse-client relationship, where trust has already been established.

D. Working phase: The working phase is when trust is fully developed, and the client actively engages in the care process.

A. "The effects of ACES affect adolescents, but they do not affect them once they reach adulthood." B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." D. "ACES have the same effect on adults and adolescents."

Correct Answer is C

Explanation

A. "The effects of ACEs affect adolescents, but they do not affect them once they reach adulthood." This is incorrect because ACEs have lifelong consequences, increasing the risk for mental health disorders, chronic diseases, and risky behaviors well into adulthood.

B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." While both depression and obesity can occur, ACEs increase the risk of mental and physical health issues at all stages of life, and obesity is not exclusive to adolescents.

C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." Research shows that ACEs increase the risk of chronic illnesses (e.g., cancer, COPD) in adulthood and also elevate suicidal risk in adolescents.

D. "ACEs have the same effect on adults and adolescents." While ACEs affect all age groups, their manifestations differ: adolescents may experience mental health issues and risky behaviors, while adults may develop chronic illnesses and long-term emotional dysregulation.

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A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

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