A nurse is teaching a newly licensed nurse about directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A health care surrogate must be a family member.

The provider can go against the client’s wishes regarding advance directives.

The provider will choose a client’s health care surrogate.

The client can resume control of health care after a temporary loss of competency.

Answer and Explanation

The Correct Answer is D

Choice A reason: A health care surrogate does not have to be a family member; clients can designate anyone competent. Assuming family is required shows misunderstanding, risking incorrect surrogate selection, potentially violating client autonomy, critical to avoid in ensuring accurate advance directive implementation in healthcare settings.

Choice B reason: Providers cannot override advance directives unless legally challenged or unclear; they respect client wishes. Assuming providers can go against directives indicates misunderstanding, risking ethical violations, critical to avoid in upholding client autonomy and legal standards in advance directive application during medical decision-making.

Choice C reason: Providers do not choose surrogates; clients designate them in advance directives. Assuming provider choice shows misunderstanding, risking unauthorized decision-making, potentially conflicting with client wishes, critical to prevent in ensuring client-directed care and legal compliance in advance directive processes in healthcare.

Choice D reason: Clients can resume healthcare control after regaining competency, as advance directives apply during incapacity. This understanding ensures respect for autonomy, critical for ethical care, allowing clients to direct decisions once capable, supporting legal and patient-centered implementation of advance directives in temporary incapacity scenarios.

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Correct Answer is D

Explanation

Choice A reason: Airborne precautions are for diseases like tuberculosis, not bacterial meningitis, which spreads via droplets. Droplet precautions are appropriate. Using airborne risks unnecessary measures, potentially diverting resources, critical to avoid in ensuring efficient infection control and protecting others from meningitis in pediatric hospital settings.

Choice B reason: Contact precautions are for infections like MRSA, not bacterial meningitis, which requires droplet precautions for respiratory spread. Assuming contact risks inadequate protection, potentially allowing transmission, critical to prevent in ensuring effective isolation and safety for staff and patients in bacterial meningitis cases.

Choice C reason: Protective environment is for immunocompromised patients, not bacterial meningitis, which needs droplet precautions to prevent spread. Using protective environment risks inappropriate care, diverting focus from transmission prevention, critical to avoid in ensuring proper infection control for bacterial meningitis in school-age children.

Choice D reason: Droplet precautions are required for bacterial meningitis, spread via respiratory droplets, using masks and private rooms to prevent transmission. This ensures safety, protecting staff and patients, critical for effective infection control, reducing spread, and supporting recovery in school-age children with bacterial meningitis in hospital settings.

A. Discuss a long-term care referral for the client with the provider. B. Suggest that the client attend adult day care three times per week. C. Review assisted living accommodations with the client. D. Instruct the client about the use of telehealth services.

Correct Answer is D

Explanation

Choice A reason: A long-term care referral is premature for an independent client with type 2 diabetes, as it assumes significant functional decline. Rural clients benefit from accessible care like telehealth to manage chronic conditions, making this intervention less appropriate than supporting independence.

Choice B reason: Adult day care three times weekly is unnecessary for an independent client and may not address diabetes management directly. It is less practical in rural areas with limited access, making telehealth a more feasible and targeted intervention for ongoing care.

Choice C reason: Reviewing assisted living is inappropriate for an independent client managing type 2 diabetes. It overlooks the client’s ability to live autonomously with support like telehealth, which is more suitable for rural settings to maintain independence and manage chronic conditions.

Choice D reason: Telehealth services enable rural clients with type 2 diabetes to access regular monitoring, education, and consultations, overcoming geographic barriers. This supports independent living, enhances glycemic control, and prevents complications, making it the most appropriate intervention for this client’s care plan.

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A nurse is teaching a newly licensed nurse about directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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