A nurse is caring for a client who is receiving palliative care and wants to make sure they document their wishes for end-of-life care. Which of the following should the nurse assist the client with completing?
Durable medical power of attorney
Do-not-resuscitate prescription
Organ donation card
A living will
The Correct Answer is D
A. A durable medical power of attorney designates a trusted person to make healthcare decisions on behalf of the client if they become unable to do so. While important, it focuses on decision-making authority rather than specific treatment preferences.
B. A do-not-resuscitate (DNR) prescription specifically addresses whether resuscitation efforts should be initiated but does not cover broader end-of-life care preferences or wishes. It is one component of advance care planning but not the comprehensive document for overall wishes.
C. An organ donation card expresses the client’s wishes regarding donation of organs after death. Although valuable, it does not address broader end-of-life care decisions or treatments.
D. A living will is a legal document that details the client’s preferences for end-of-life care, including treatments they want to accept or refuse. It ensures that their wishes are honored when they cannot communicate, making it the most appropriate document for this purpose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Primary prevention: This strategy aims to prevent the onset of disease or injury before it occurs. By educating adolescents on the dangers of smoking, the nurse is promoting behaviors that reduce the risk of starting tobacco use, thereby preventing potential health issues like cancer or cardiovascular disease.
B. Tertiary prevention: This involves managing and reducing complications in individuals who already have a disease. The nurse is not treating or managing existing health issues related to smoking but is trying to prevent tobacco use entirely.
C. Screening: Screening identifies individuals who may have a disease or risk factor early on. No diagnostic or early detection efforts are involved in this educational session.
D. Case findings: Case finding involves actively identifying individuals with a specific condition, often through outreach or assessment. The nurse is not identifying smokers or tobacco-related illness in this scenario.
Correct Answer is B
Explanation
A. The client has a body mass index of 23: A BMI of 23 falls within the normal healthy range (18.5–24.9), which is associated with a lower risk of heart disease compared to overweight or obesity.
B. The client recently started vaping: Vaping introduces nicotine and other harmful chemicals that can increase heart rate, blood pressure, and promote inflammation, all of which elevate the risk for cardiovascular disease. Although often perceived as safer than smoking, vaping still poses significant heart health risks.
C. The client includes insoluble fiber foods in their diet: Insoluble fiber supports digestive health and can indirectly reduce heart disease risk by promoting overall healthy eating habits, but it does not directly increase cardiovascular risk.
D. The client limits dietary intake of high sugar foods: Reducing high sugar intake helps prevent obesity, diabetes, and dyslipidemia, all of which decrease the risk of heart disease, so this behavior is protective rather than a risk factor.
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