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: HPV vaccine is recommended for younger individuals, typically up to age 45, to prevent cervical and other cancers. Older adults are less likely to benefit due to lower risk of new HPV exposure, making this an inappropriate recommendation for this age group.

Choice B reason: Rotavirus vaccine is for infants to prevent severe diarrhea, not older adults, who are not at significant risk for rotavirus infection. It is irrelevant for this population, as their immune systems typically handle such infections, making this an incorrect choice.

Choice C reason: DTaP is for children, with Tdap recommended for adults, including older adults, as a booster. However, herpes zoster is more specific for older adults due to shingles risk, making DTaP less prioritized in this context compared to the zoster vaccine.

Choice D reason: Herpes zoster vaccine is recommended for adults over 50 to prevent shingles, a reactivation of varicella-zoster virus common in older adults. It reduces painful complications like postherpetic neuralgia, making it the most appropriate immunization for this group per CDC guidelines.

A. Pour cool water over the client's perineum. B. Tell the client to gently stroke their lower abdomen. C. Instruct the client to lean slightly backward. D. Turn on the faucets in the client's sink.

Correct Answer is D

Explanation

Choice A reason: Pouring cool water over the perineum may cause discomfort or infection risk and is not a standard method to stimulate urination. It does not address psychological or reflex triggers for voiding, making it ineffective for bedpan urination difficulties.

Choice B reason: Stroking the lower abdomen may stimulate bladder contraction but is less effective than auditory cues for triggering the voiding reflex. It is not a primary intervention for bedpan urination issues, making it less appropriate than running water.

Choice C reason: Leaning slightly backward may increase intra-abdominal pressure, hindering bladder emptying. A forward-leaning or upright position is preferred to facilitate urination, so this instruction is counterproductive for helping the client urinate into a bedpan.

Choice D reason: Turning on faucets creates running water sounds, stimulating the voiding reflex via auditory cues, a proven method to aid urination in bedbound clients. This non-invasive approach addresses psychological barriers, making it the correct action for bedpan difficulties.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

Explanation

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