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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Teaching parenting skills is a primary prevention strategy as it aims to prevent problems before they occur by providing new parents with the knowledge and skills they need.
Choice B reason: Blood pressure screenings are a form of secondary prevention, aimed at early detection and management of existing health issues.
Choice C reason: Food safety education is a primary prevention measure that helps prevent foodborne illnesses by informing individuals about safe food handling practices.
Choice D reason: Encouraging healthy adolescents to incorporate exercise into their daily activities is a primary prevention strategy that promotes long-term health and prevents chronic diseases.
Choice E reason: Smoking cessation programs are a primary prevention strategy as they aim to prevent the onset of smoking-related diseases by helping individuals to quit smoking.
Correct Answer is ["B","D","E","J"]
Explanation
Choice A - Shower: The presence of a walk-in shower with a shower chair suggests that the client's needs have been considered, and this setup should not present complications.
Choice B - Flooring: The highly polished wood floors are a significant risk for slipping, especially for someone recovering from knee surgery. This type of flooring can be very slippery, particularly if the client is using assistive devices like crutches or a walker.
Choice C - Home Entrance: The front entrance has two steps, but a ramp has been added, and there is sufficient lighting. This adaptation should make the entrance safe for the client.
Choice D - Inside Walking Pathway: The living room's excessive furniture creating narrow pathways can be problematic for the client's mobility and increases the risk of falls or bumping into furniture, which can be dangerous post-surgery.
Choice E - Rugs: Non-secure rugs throughout the house are a tripping hazard. They can easily cause the client to slip or trip, leading to falls.
Choice F - Inside Lighting: The presence of night lights in the hallway and bathroom suggests that inside lighting is adequate and should not present complications.
Choice G - Home Assistance: The client lives with an adult child who is retired, which implies that there is some level
of home assistance available.
Choice H - Toilet: The toilet is elevated, which is beneficial for someone with knee issues as it reduces the strain on the knees when sitting down or standing up.
Choice I - Bedroom Location: The client’s bedroom being on the first floor is advantageous as it eliminates the need to climb stairs.
Choice J - Handrails: The absence of handrails in the bathroom is a safety concern. Handrails provide support and stability, which are crucial for preventing falls in the bathroom, especially post knee surgery.
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