A nurse is teaching a group of clients about advance directives. Which of the following statements should the nurse include about a living will?

"A living will is a legal document that will direct caregivers to not resuscitate you."

"This document states that you have been informed of the risks and benefits of a surgical procedure."

"This document will name a person of your choosing to make medical decisions for you if you are unable to."

"A living will helps your family make decisions based on your wishes."

Answer and Explanation

The Correct Answer is D

Rationale:
A. A Do Not Resuscitate (DNR) order is a medical prescription, not a living will.
B. This describes informed consent, not a living will.
C. Naming someone to make health care decisions is a health care proxy/durable power of attorney for health care, not a living will.
D. A living will is a legal document that outlines a client’s wishes regarding medical treatment if they become incapacitated, guiding the family and health care team in decision-making.

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

Explanation

Rationale:
A. Client 2: The client vomited undigested food and medication shortly after administration, which may have prevented absorption and requires reporting.
B. Client 1: Cefaclor was administered 30 minutes late (0800 scheduled, given 0830), which is a minor timing discrepancy and does not require an incident report.
C. Client 3: Warfarin was administered despite an INR of 3.8, which is above the prescribed hold limit (>3.5), representing a medication error that requires an incident report.
D. Client 4: Furosemide was ordered PO but was administered IV, which is a route error and requires an incident report.
E. Client 5: Gentamicin was administered at 300 mg instead of the prescribed 150 mg, representing an overdose and requires an incident report.
F. Client 6: Atenolol was administered correctly per prescription, as the apical pulse was above the hold limit; no incident report is needed.

A. Nonmaleficence B. Veracity C. Utility D. Autonomy

Correct Answer is A

Explanation

Rationale:
A. Nonmaleficence refers to the ethical principle of avoiding harm or preventing injury. By removing a fall hazard, the nurse is actively working to prevent harm to the client.
B. Veracity means telling the truth and being honest with clients, which is not demonstrated in this scenario.
C. Utility focuses on the greatest good for the greatest number, not on preventing individual harm in a direct care setting.
D. Autonomy is respecting the client’s right to make their own decisions about care, but it does not apply to removing environmental hazards.

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A nurse is teaching a group of clients about advance directives. Which of the following statements should the nurse include about a living will?

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Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing the medication administration records of six clients. Exhibits Which of the following client situations require an incident report? Select all that apply.

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

Explanation

A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles?

Correct Answer is A

Explanation

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