A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?
"PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so."
"PAD is not a legally binding document, like a living will."
"PAD is used by the majority of clients who have a mental illness."
"PAD can include preferences for treatment, such as medications and preferred providers."
The Correct Answer is D
A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.
B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.
C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.
D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.
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Related Questions
Correct Answer is B
Explanation
A. "Allow the client's family to attend all group therapies with the client." While family involvement can be beneficial, a client’s autonomy and confidentiality must be respected. Some clients may not feel comfortable sharing in the presence of family members.
B. "Listen attentively to a client and summarize their comments." Active listening and summarization demonstrate empathy and understanding, reinforcing the therapeutic relationship. This technique also helps ensure that the nurse accurately understands the client's concerns.
C. "Asking questions easily answered with one-word responses is important with mental health clients." Closed-ended questions limit the client’s ability to express emotions and thoughts, which can hinder the therapeutic process. Open-ended questions encourage meaningful discussion.
D. "Avoid asking clients direct questions regarding suicidal behaviors or thoughts." It is essential to directly ask about suicidal thoughts in a nonjudgmental manner. Avoiding these questions can lead to missed warning signs and inadequate intervention.
Correct Answer is D
Explanation
A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.
B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.
C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.
D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.
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