A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?
The living will is a legally binding contract between the client and the provider.
The client's family has the authority to revoke the do-not-resuscitate (DNR) order at any time.
The client can verbally choose a health care proxy if two nurses witness the designation.
The client can choose a non-family member as the designated power of attorney.
The Correct Answer is D
Choice A reason: A living will is not a contract but a legal document that outlines a person's wishes regarding medical
treatment if they become unable to communicate their decisions.
Choice B reason: The client's family does not have the authority to revoke a DNR order unless they are the designated health care proxy or have legal authority to make decisions for the client.
Choice C reason: While verbal designations are possible, it is always best to have such designations documented in writing to ensure clarity and legal standing.
Choice D reason: A client has the right to choose anyone they trust, including a non-family member, to serve as their power of attorney for health care decisions.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Weight loss may be a concern but does not directly indicate a need for occupational therapy.
Choice B reason: Coughing after drinking liquids could indicate a swallowing disorder, which would typically require a referral to a speech therapist, not an occupational therapist.
Choice C reason: Inability to recognize pictures might suggest cognitive issues, which could require a neuropsychologist or speech therapist rather than an occupational therapist.
Choice D reason: Difficulty gripping objects is a common impairment after a stroke that affects motor skills, making it a clear indication for occupational therapy to help regain those skills.
Correct Answer is C
Explanation
Choice A reason: Preparing for a lumbar puncture is important for diagnosis but not the immediate first action for a suspected case of bacterial meningitis.
Choice B reason: Inserting an IV catheter is a preparatory step for treatment but does not address the immediate need to prevent transmission.
Choice C reason: Initiating isolation precautions is the first and most critical action to prevent the spread of infection, as bacterial meningitis can be highly contagious.
Choice D reason: While managing fever is important, it is not the first priority before ensuring the safety of other patients and healthcare workers.
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