A nurse is providing education to a group of clients who have chronic illnesses about advance care planning. Which of the following information should the nurse include in the teaching?
Advance care planning is only necessary for clients who are terminally ill or near death.
Advance care planning involves making decisions about life-sustaining treatments and organ donation.
Advance care planning requires a written document that must be signed by a witness and a health care provider.
Advance care planning can be revised or updated at any time by the client or their designated surrogate.
The Correct Answer is D
Advance care planning can be revised or updated at any time by the client or their designated surrogate, as long as they have decision-making capacity and communicate their wishes clearly. This allows for flexibility and adaptation to changing circumstances or preferences.
Answer A is incorrect because advance care planning is recommended for all adults, regardless of their health status or prognosis, as it can help them prepare for future situations and ensure that their values and goals are respected.
Answer B is incorrect because advance care planning involves more than just making decisions about life-sustaining treatments and organ donation; it also includes expressing one's values, beliefs, preferences, fears, hopes, and expectations for end-of-life care, as well as identifying a surrogate decision-maker and communicating with one's family and health care team.
Answer C is incorrect because advance care planning does not require a written document, although it is advisable to have one; it can also be done verbally or through other means, such as videos or audio recordings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should encourage the spouse to communicate with the client about their preferences for end-of-life care, and express their love and support. This can help the client feel more comfortable and respected, and reduce the risk of conflicts or regrets later on.
Answer A is incorrect because it does not respect the client's autonomy or right to make informed decisions about their own care.
Answer C is incorrect because it may delay or prevent important conversations that need to happen before the client's condition worsens.
Answer D is incorrect because it violates the client's legal and ethical rights, and may cause resentment or anger from the client.
Correct Answer is C
Explanation
T
he nurse should initiate antibiotic therapy as prescribed for a client who has COPD and develops signs of a respiratory infection, such as fever, productive cough, and increased dyspnea. Antibiotics can help treat the infection and prevent complications such as sepsis or respiratory failure.
Incorrect answers:
A) The nurse should not obtain a sputum culture and sensitivity test for a client who has COPD and develops signs of a respiratory infection, as this is not necessary or appropriate in palliative care. The goal of palliative care is to relieve symptoms and improve quality of life, not to diagnose or cure diseases. A sputum culture and sensitivity test may cause discomfort or distress for
the client, and delay treatment.
B) The nurse should not administer acetaminophen as prescribed for a client who has COPD
and develops signs of a respiratory infection, as this is not sufficient or effective in managing
the condition. Acetaminophen may help reduce fever, but it does not address the underlying cause of infection or relieve other symptoms such as cough or dyspnea.
D) The nurse should not increase fluid intake as tolerated for a client who has COPD and develops signs of a respiratory infection, as this may worsen dyspnea or cause fluid overload. Fluid intake should be individualized
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