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 can choose a non-family member as the designated power of attorney.
The client's family has the authority to revoke the do-not-resuscitate order at any time.
The client can verbally choose a health care proxy if two nurses witness the designation.
The Correct Answer is B
The client can choose a non-family member as the designated power of attorney. A durable power of attorney for healthcare is a legal document that designates a person to make healthcare decisions on behalf of the client if they become unable to do so. The client can choose any competent adult as their designated power of attorney, not just a family member. The living will is a legal document that outlines a client's wishes for end-of-life care, but it is not a contract between the client and provider. The family does not have the authority to revoke a do-not-resuscitate order at any time, and the client cannot verbally choose a health care proxy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.While social withdrawal is a concerning sign of grief, it does not necessarily indicate an immediate risk of self-harm. The nurse should continue to monitor and encourage engagement.
B.Anger is a normal stage of grief. Unless the client expresses intent to harm themselves or others, anger alone does not require immediate intervention.
C.This statement may indicate suicidal ideation. When a grieving client expresses that "everything is going to be fine soon," it can be a red flag for suicidal intent, especially if they have recently experienced a significant loss. Some individuals contemplating suicide may appear calm or overly optimistic once they have decided on a plan.
D.Refusal to communicate is concerning but not necessarily an immediate crisis. The nurse should build rapport and offer ongoing support.
Correct Answer is C
Explanation
. Home safety measures are a priority for a client with alcohol use disorder and cirrhosis of the liver, as they may have mobility or balance issues that increase their risk of falls or injury. Assessing the client's home environment and identifying any potential hazards is crucial in preventing further injury or harm to the client. Once the home safety measures have been determined, the case manager can then arrange for a home health nurse to visit the client, provide information on self-help groups for alcohol use disorder, and contact a social worker to assist with managing finances.
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