A nurse is providing information to a client about advance directives. Which of the following items should the nurse explain that advance directives in s include?

Information regarding who will handle the client's finances

A form with directions for contacting primary contact

Instructions regarding a durable power of attorney for healthcare

Information regarding the disposition of the client's body upon death

Answer and Explanation

The Correct Answer is C

Rationale:
A. Handling finances is addressed through a financial power of attorney, not an advance directive. Advance directives are focused on healthcare decisions, not financial matters.

B. A form for contacting a primary contact is not considered an advance directive. While it may be part of medical documentation, it does not specify healthcare decisions or treatment preferences.

C. Instructions regarding a durable power of attorney for healthcare are a key component of advance directives. This allows the client to designate a healthcare proxy or agent to make medical decisions on their behalf if they become unable to do so. Advance directives also often include living wills, which specify the client’s wishes regarding life-sustaining treatments.

D. Information about the disposition of the client’s body upon death is not part of an advance directive. This is typically addressed in a separate document, such as a funeral or burial plan.

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Correct Answer is ["A","B","C","D"]

Explanation

Rationale:
A. Monitoring overall functions of the unit is a core responsibility of a nurse manager. This includes overseeing patient care, staff performance, and workflow efficiency to ensure smooth operations.

B. Rewarding and disciplining staff falls under the nurse manager’s role in human resource management, ensuring accountability and promoting staff performance and morale.

C. Making decisions on the unit is part of the nurse manager’s responsibility to guide operations, resolve conflicts, and implement policies that support safe and effective patient care.

D. Ensuring facility goals are met involves aligning the unit’s operations with the organization’s mission, vision, and quality benchmarks. Nurse managers track performance metrics and implement initiatives to meet these objectives.

E. Delegating tasks to assistive personnel is typically the role of staff nurses, not the nurse manager. While nurse managers oversee delegation policies, the actual task assignment is generally handled by the direct care nurse providing patient care.

A. The client reports pain when chewing solid foods. B. The client has difficulty ambulating with a walker. C. The client requires assistance with completing oral hygiene. D. The client expresses the desire to join a support group.

Correct Answer is C

Explanation

Rationale:

A. Pain when chewing solid foods is primarily related to temporomandibular joint dysfunction or dental issues. This concern falls under the care of dentists or medical providers, rather than occupational therapy, as it does not involve ADLs or functional independence.

B. Difficulty ambulating with a walker involves mobility, balance, and lower extremity function, which are typically addressed by a physical therapist. Physical therapy focuses on improving strength, gait, and safe ambulation, whereas occupational therapy focuses on upper-body function and activities of daily living.

C. Requiring assistance with completing oral hygiene indicates difficulty with self-care tasks, a primary focus of occupational therapy. Occupational therapists assess limitations in ADLs, provide adaptive techniques or devices (e.g., built-up toothbrush handles, assistive grips), and develop individualized plans to help clients maintain independence and perform daily tasks safely. For a client with rheumatoid arthritis, joint pain and reduced dexterity can impede the ability to complete these tasks, making occupational therapy essential.

D. Expressing the desire to join a support group addresses emotional and social support needs, which are typically facilitated by a social worker or counselor, not an occupational therapist. While important for holistic care, this does not fall under the scope of occupational therapy.

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A nurse is providing information to a client about advance directives. Which of the following items should the nurse explain that advance directives in s include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D"]

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Correct Answer is C

Explanation

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