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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A.A positive-airflow room with 12 air exchanges per hour is used for protective environments(e.g., neutropenic clients), not for those with droplet infections like streptococcal pharyngitis.
B.Visitors are not prohibitedfor clients with streptococcal pharyngitis. Visitors should follow droplet precautions, such as wearing a mask if close to the client.
C.Sterile glovesare not required for routine oral care; clean glovesare sufficient unless performing a sterile procedure.
D. Streptococcal pharyngitis is spread via droplet transmission. A mask should be worn when within 3 feet (1 meter) of the client to prevent the spread of infection.
Correct Answer is A
Explanation
A.Clients in restraints require frequent assessment and documentation, typically every 15 to 30 minutes, to ensure safety and monitor for complications.
B.The initial restraint order must be obtained promptly, usually within 1 hour, not 36 hours.
C.Consent must be obtained from the client or their legal guardian, not just a family member.
D.Restraints cannot be prescribed on a PRN (as needed) basis; orders must be specific and time-limited.
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