A nurse is caring for a client who has named a person to serve as his health care proxy. The client talks about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

"I can change who I designate as my health care proxy at any time."

"I have to choose a family member as my health proxy."

"I become incapacitated, end-of-life choices will be made by my proxy"

"The health care proxy does not go into effect until 1 am incapable of making decisions,"

Answer and Explanation

The Correct Answer is B

A. "I can change who I designate as my health care proxy at any time": This statement is correct. Clients have the right to change their designated health care proxy at any time as long as they are competent to do so. It's important for clients to know that they have flexibility in selecting their proxy based on their preferences and trust in the individual's ability to represent their wishes.
B. "I have to choose a family member as my health proxy": This statement requires clarification. While many clients may choose a family member as their health care proxy, it is not a requirement. Clients have the autonomy to choose any individual they trust to make medical decisions on their behalf, whether it's a family member, friend, or even a legal representative. It's crucial to ensure that the chosen proxy understands the client's wishes and is willing and able to advocate for them.
C. "If I become incapacitated, end-of-life choices will be made by my proxy": This statement is accurate. A health care proxy is designated to make medical decisions on behalf of the client if they become incapacitated and are unable to make decisions for themselves. The proxy is responsible for advocating for the client's wishes, including end-of-life preferences, if outlined in the advance directive or communicated to the proxy beforehand.
D. "The health care proxy does not go into effect until I am incapable of making decisions": This statement is generally correct. Health care proxies typically become active only when the client is deemed incapacitated and unable to make decisions for themselves, as determined by a healthcare provider. However, the specifics may vary depending on state laws and the language of the advance directive document. It's essential for clients to understand when the proxy's authority begins and how it transitions based on their capacity to make decisions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Each statement provides valuable information about the child's behavior or physical condition.

A. "Sometimes my child acts bossy with his friends.": This statement indicates a behavioral characteristic of the child that may be typical for a 6-year-old. While it's essential for the child to learn appropriate social behaviors, occasional bossiness is not unusual at this age and may reflect normal developmental stages.
B. "My child often cheats when we play board games.": While honesty is important, cheating during games is a behavior that some children may exhibit during certain developmental stages. It can provide insight into the child's understanding of rules and social interactions but may not necessarily be a cause for significant concern.
C. "The teacher says my child has to squint to see the board.": This statement raises concern about the child's vision and suggests potential visual impairment or difficulty seeing distant objects clearly. Squinting to see the board could indicate nearsightedness or other vision problems that may require further assessment and intervention by an eye care professional.
D. "My child has recently lost both front top teeth.": Losing baby teeth is a normal developmental milestone for children around the age of 6. It typically indicates the natural process of permanent teeth erupting, and it's not typically a cause for concern unless there are complications or abnormalities associated with tooth loss.

A. "Crushing the medication might cause you to have a stomachache or indigestion B. "Crushing the medication is a good idea, and I can mix it in some ice cream for you. C. Crushing is unsafe, as it destroys the ingredients in the medication. D. "Crushing the medication would release all the medication at once, rather than over time.

Correct Answer is D

Explanation

A. "Crushing the medication might cause you to have a stomachache or indigestion."
This response provides a potential adverse effect of crushing the medication but does not directly address the reason why the aspirin should not be crushed.
B. "Crushing the medication is a good idea, and I can mix it in some ice cream for you."
This response suggests a solution to the client's difficulty swallowing medication but does not address the safety or efficacy concerns associated with crushing enteric-coated aspirin.
C. "Crushing is unsafe, as it destroys the ingredients in the medication."
While crushing enteric-coated aspirin may alter its release properties, it does not necessarily "destroy" the ingredients. This statement may be too absolute and not entirely accurate.
D. "Crushing the medication would release all the medication at once, rather than over time."
This response accurately explains why enteric-coated aspirin should not be crushed. Enteric coating is designed to prevent dissolution of the medication in the stomach and instead release it in the small intestine to reduce the risk of gastric irritation or ulceration. Crushing the medication would bypass this delayed release mechanism, potentially leading to increased gastric irritation or adverse effects.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has named a person to serve as his health care proxy. The client talks about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer is C

Explanation

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is D

Explanation

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply)

A nurse is caring for a client who is dying. The client says. "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply)