A nurse is teaching the parents of a child who has a terminal illness about advanced care planning (ACP). Which of the following statements should the nurse include?
"ACP helps clients decide the preferred location of death and advance directives."
"ACP is invalid if the client chooses curative treatment."
"ACP are legal documents that go into effect if clients are unable to make decisions."
"ACP does not take into account the individual's cultural influences."
The Correct Answer is C
A. "ACP helps clients decide the preferred location of death and advance directives.": While ACP may include discussions about goals of care and preferences, it is broader than end-of-life location alone. The primary focus is on documenting decision-making authority and treatment preferences should capacity be lost. Limiting ACP to location of death oversimplifies its scope.
B. "ACP is invalid if the client chooses curative treatment.": Advanced care planning remains appropriate regardless of whether the client is receiving curative, life-prolonging, or palliative treatment. ACP supports ongoing decision-making across the illness trajectory. Choosing curative treatment does not negate or invalidate ACP.
C. "ACP are legal documents that go into effect if clients are unable to make decisions.": ACP includes advance directives and durable powers of attorney that guide care when a client lacks decision-making capacity. These documents ensure that healthcare choices align with the client’s values and previously expressed wishes. This statement accurately reflects the legal and clinical purpose of ACP.
D. "ACP does not take into account the individual's cultural influences.": Cultural, spiritual, and personal values are central to advanced care planning discussions. ACP is designed to respect and incorporate these influences into healthcare decision-making. Excluding cultural considerations contradicts the foundational principles of ACP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Children are expected to count backwards from 20 to 1 by age 7.": Counting skills relate to cognitive development, not gross or fine motor skills. While some 7-year-olds may perform backward counting, this statement does not reflect motor skill development appropriate for teaching physical growth in school-age children.
B. School-age children demonstrate improved coordination and endurance, allowing participation in activities like running, jumping rope, and team sports: Between ages 6 and 12, children refine gross motor skills, develop better balance, and increase stamina. These improvements enable engagement in structured physical activities and sports, reflecting normal motor skill progression for this age group.
C. Physical development at this stage is minimal, and children do not typically engage in organized physical activities: This statement is inaccurate, as school-age children experience significant gains in strength, coordination, and endurance, making organized activities a critical part of development.
D. "By age 6, most children can use tools such as a screwdriver or hammer.": Fine motor skills like using tools develop gradually and vary widely among children. While some may demonstrate basic use, this level of precision is more advanced and not a standard expectation for all 6-year-olds.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Peer relationships and social acceptance: Adolescents place significant value on peer acceptance and friendships. Positive peer interactions can enhance self-esteem, while rejection or bullying can lower it, making social dynamics a key influencing factor.
B. Physical appearance and body image: Pubertal changes and body image concerns strongly impact adolescent self-esteem. Satisfaction or dissatisfaction with appearance can affect confidence, social interactions, and emotional well-being.
C. Socioeconomic status and family income: Socioeconomic factors influence access to resources, extracurricular activities, and social experiences. Limited financial means can affect adolescents’ sense of belonging and self-worth.
D. Academic achievements and grades: Success or difficulties in school can shape self-esteem. High academic performance can boost confidence, whereas repeated academic struggles may negatively affect an adolescent’s self-image and motivation.
E. Parental approval and family support: Family dynamics, emotional support, and parental involvement are critical for healthy self-esteem. Positive reinforcement and nurturing relationships help adolescents develop a secure sense of self.
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