A nurse is delegating oral care for a client who is unconscious to an assistive personnel (AP). The AP tells the nurse that APs are not allowed to perform the delegated task. Which of the following actions should the nurse take?

Ask the nurse manager who should perform the task.

Perform the oral care.

Ask a licensed practical nurse to perform the task.

Check the AP job description.

Answer and Explanation

The Correct Answer is D

A.   While consulting with the nurse manager is appropriate in some cases, it's important to first verify the AP's scope of practice.
B.   If the AP is not qualified to perform the task, the nurse may need to perform it themselves or delegate it to someone who is qualified. However, it's important to first verify the AP's scope of practice to avoid unnecessary delegation.
C.   This may be a viable option if the AP is not qualified to perform the task and the nurse is unable to do it themselves. However, it's important to ensure that the licensed practical nurse has the necessary training and competence to perform the task safely and effectively.
D.   The AP job description outlines the specific tasks and responsibilities that the AP is authorized to perform. By checking the job description, the nurse can determine if the AP is indeed qualified to perform oral care for an unconscious client.

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Correct Answer is D

Explanation

A. While the oldest adult child may have durable power of attorney for health care, this authority only comes into play if the client is unable to make their own health care decisions. Since the client is oriented to person, place, and time, they are considered competent to make their own decisions.
B. The partner may have emotional and personal interests in the client's health care decisions, but legal authority to make health care decisions generally does not extend to the partner unless specifically designated in advance directives or legal documents. In the absence of such designations and if the client is competent, the partner does not have the legal authority to make decisions.
C. The provider’s role is to offer recommendations and information about the benefits and risks of treatment options. However, the provider does not have the legal authority to make health care decisions on behalf of the client, even if they recommend surgery or other treatments.
D. The client, being oriented to person, place, and time, is competent to make their own health care decisions. In such cases, the client’s wishes take precedence over any advance directives or powers of attorney, as long as they are able to understand and make informed decisions about their care.

A. "My doctor will need to provide approval for the decisions outlined in my living will." B. "I will wait until I have a serious health problem to sign my advance directives." C. "My durable power of attorney for health care is part of my advance directives. D. "Once I sign my living will, a family member must co-sign it."

Correct Answer is C

Explanation

A. A living will does not require approval from a physician; it is a legal document that outlines a person’s
wishes regarding medical treatment in case they become unable to communicate those wishes.
B. Advance directives should be completed while the individual is still capable of making informed decisions, ideally before a serious health issue arises. These documents are intended to provide
guidance on the person’s wishes regarding medical treatment and end-of-life care in situations where they might not be able to communicate their preferences.
C. The durable power of attorney for health care (also known as a health care proxy) is a component of advance directives. It designates a person to make medical decisions on behalf of the individual if they are unable to do so themselves. This document, along with a living will, is part of advance directives that help ensure a person’s health care wishes are honored.
D. A living will does not require a family member’s co-signature to be valid. It must be signed by the individual and may require witnessing or notarization depending on state laws, but not a family member’s co-signature.

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A nurse is delegating oral care for a client who is unconscious to an assistive personnel (AP). The AP tells the nurse that APs are not allowed to perform the delegated task. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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