A nurse is caring for an adult client who has a history of mental illness and is scheduled for a total hip arthroplasty. The nurse should Identify that which of the following people can provide informed consent for the procedure?

The client's provider

The client's mother

The client

The client's sibling

Answer and Explanation

The Correct Answer is C

The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.

The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.

The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.

The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.

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Correct Answer is B

Explanation

A. A client who reports experiencing short-term memory loss:

Memory loss is a common issue in older adults and does not necessarily indicate elder abuse. While it is a concern that should be addressed, it may not be related to abuse unless there are specific circumstances suggesting mistreatment.

B. A client who is wearing urine-scented clothing.

Wearing urine-scented clothing can be indicative of neglect, which is a form of elder abuse. Neglect occurs when the basic needs of an older adult, such as hygiene and cleanliness, are not adequately met. The nurse should report this finding to the case manager so that appropriate interventions and assessments can be made to address the potential abuse or neglect.

C. A client who has fingernails that are discolored and broken:

Fingernail issues can have various causes, including medical conditions or self-neglect. Discolored and broken fingernails alone may not be conclusive evidence of elder abuse, and further assessment is needed to determine the cause.

D. A client who provides a detailed description of a recent fall at home:

While falls are a concern, providing a detailed description of a fall is not necessarily indicative of elder abuse. Falls can occur for various reasons, and additional assessment is needed to determine the circumstances surrounding the fall and whether abuse or neglect is involved.

A. A client who has schizophrenia and exhibits apathy B. A client who has an anxiety disorder and appears restless C. A client who has major depressive disorder and reports hopelessness D. A client who has bipolar disorder and exhibits provocative behavior

Correct Answer is C

Explanation

A. A client with schizophrenia exhibiting apathy may require attention, but it may not be an immediate priority unless there are signs of deterioration or safety concerns.

B. A client with an anxiety disorder appearing restless may be experiencing distress, but it is not necessarily indicative of an immediate safety or crisis situation.

C. A client with major depressive disorder reporting hopelessness raises significant concern, as it may indicate an increased risk of self-harm or suicide. Clients expressing hopelessness should be assessed promptly to determine the level of risk and implement appropriate interventions.

D. A client with bipolar disorder exhibiting provocative behavior may pose a potential risk, but the level of urgency is typically higher for a client expressing hopelessness and depressive

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A nurse is caring for an adult client who has a history of mental illness and is scheduled for a total hip arthroplasty. The nurse should Identify that which of the following people can provide informed consent for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a group of older adult clients. The nurse should report which of the following clients to the case manager for findings consistent with elder abuse?

Correct Answer is B

Explanation

A nurse on a mental health unit is caring for four clients. Which of the following clients should the nurse see first?

Correct Answer is C

Explanation

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