A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so”

“You should appoint a health care proxy before undergoing an invasive procedure”

“It is necessary for an attorney to approve your health care proxy”

Answer and Explanation

The Correct Answer is B

a.   It is not required to choose a family member as a health care proxy; the client has the right to choose any competent adult.
b.   This is correct because a health care proxy is authorized to make medical decisions on the client's behalf if they are unable to do so themselves.
c.   While it is advisable to have a health care proxy, it is not a requirement before undergoing an invasive procedure.
d.   An attorney is not necessary to approve a health care proxy, although legal advice might be beneficial when drafting advance directives.

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Correct Answer is D

Explanation

a. This statement reflects the client's concerns about financial aspects related to therapy and does not specifically indicate a need for occupational therapy.
b. This statement indicates the client's hope and willingness to adapt to using crutches, which may involve physical therapy but does not necessarily require occupational therapy.
c. This statement suggests body image concerns and emotional distress, which may require psychological support but does not directly indicate a need for occupational therapy.
d. This statement highlights the client's practical concerns about performing activities of daily living, such as childcare, which can be addressed by an occupational therapist who can assess the client's functional abilities and provide strategies for adapting to their new physical condition.

A. Ask the provider to delay the client's discharge home for a few more days. B. Recommend the partner place the client in a long-term care facility. C. Contact the case manager to discuss discharge options. D. Request another family member assist the client's partner with care.

Correct Answer is C

Explanation

a. Delaying discharge may not address the partner's concerns and could potentially prolong the client's hospital stay unnecessarily.
b. While placement in a long-term care facility might be an option, it should be discussed collaboratively with the case manager and the client's healthcare team.

c. Contacting the case manager is appropriate to explore alternative discharge options and support services for the client and their partner.
d. Requesting assistance from another family member may not be feasible or address the underlying issue of the partner's inability to continue caring for the client.

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A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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