A nurse is providing client teaching about advance directives to a client who has a terminal illness. Which of the following statements by the client Indicates an understanding of a living will?

"The ethics committee will have the final say if my family doesn't agree with my decisions."

"When I can no longer make decisions, my living will tell my doctor what care I want."

"My attorney needs to be present if I make changes to my living will."

"I will need to have my provider sign my living will."

Answer and Explanation

The Correct Answer is B

A. The ethics committee may become involved in disputes, but they do not have the final say. The client's written wishes take precedence if clearly documented.
B. This accurately reflects the purpose of a living will: it outlines a client’s preferences for medical treatment if they become incapacitated and unable to communicate their wishes.
C. An attorney is not required to be present for changes to a living will, though local laws may require witnesses or notarization.
D. A provider’s signature is typically not required to validate a living will, although witnessing or notarization might be depending on state law.

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Correct Answer is D

Explanation

A.While social services may eventually assist with equipment needs, the immediateand appropriate first action is to notify the provider so they can determine a safe discharge plan.
B.Sending facility-owned equipment home with a client is not permitted and violates facility policy and inventory controls.
C.Asking the family to contact insurance places undue burden on them and delays resolution of an urgent need.
D. The provider must be informed to reassess the discharge timing or consider alternatives (e.g., delaying discharge, arranging alternative supply) to ensure client safety.

A. Providing assistance for the client when ambulating down the hall B. Reorienting the client several times throughout the day C. Performing an updated cognitive assessment on the client D. Requesting a referral for the client to attend reminiscent therapy sessions

Correct Answer is D

Explanation

A.Assisting with ambulation is part of routine nursing care, not specifically an act of advocacy.
B.Reorienting the client helps with confusion but is also standard care for clients with cognitive impairment.
C.Performing a cognitive assessment is part of the nurse’s assessment role and does not involve speaking or acting on the client's behalf.
D. This demonstrates advocacy by promoting therapies that support the client's cognitive and emotional well-being. The nurse is taking action to support the client's preferences and needs beyond routine care.

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A nurse is providing client teaching about advance directives to a client who has a terminal illness. Which of the following statements by the client Indicates an understanding of a living will?

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