A nurse is evaluating a newly licensed nurse's understanding of advance directives. The newly licensed nurse should identify that which of the following individuals is responsible for deciding whether a client is capable of making their own decisions regarding medical treatment?
Primary provider
Charge nurse
Health care surrogate
Social worker
The Correct Answer is A
A. Primary provider: The primary provider is responsible for assessing a client’s capacity to make their own medical decisions. They determine whether the client is able to understand the nature of their condition and the treatment options available.
B. Charge nurse: While the charge nurse plays an important role in overseeing nursing care and ensuring proper communication, the decision about whether a client is capable of making their own medical decisions falls to the primary provider, not the charge nurse.
C. Health care surrogate: A health care surrogate is an individual designated to make medical decisions for a client when they are unable to do so themselves. However, the primary provider is responsible for determining if the client has the capacity to make decisions before a surrogate is involved.
D. Social worker: Social workers provide support and assistance with advance directives and decision-making, but the responsibility for evaluating whether the client can make medical decisions lies with the primary provider, not the social worker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.
B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.
C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.
D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.
Correct Answer is C
Explanation
A. Herbal medicine: While herbal medicine may offer some benefits for relaxation or symptom management, it is not recommended immediately before surgery. Some herbs can interact with anesthesia or medications, and their effects are not always well understood.
B. Magnet therapy: Magnet therapy is a complementary therapy often used for pain management or to promote healing, but there is limited evidence to support its effectiveness for acute anxiety.
C. Guided imagery: Guided imagery helps reduce anxiety and promote relaxation. It involves imagining a calm and peaceful setting, which can help distract the mind and reduce pre-surgical stress. This method is safe and effective for managing anxiety.
D. Acupuncture: While acupuncture may be helpful for managing pain and stress, it requires specific knowledge and skill to perform. Acupuncture should not be performed immediately before surgery unless administered by a trained practitioner.
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