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 A

Explanation

a. Determining the reasons behind the nurses not taking scheduled breaks is essential to address any underlying issues or concerns that may be contributing to the behavior.
b. Providing coverage for the nurses' breaks may be necessary but should come after understanding why they are not taking breaks in the first place.
c. Reviewing facility policies for taking scheduled breaks is important, but understanding the reasons for non-compliance should be the first step in addressing the issue.
d. Discussing time management strategies with the nurses may be helpful, but it should come after identifying the root cause of their behavior.

A. Review current literature regarding client falls B. Implement a fall prevention plan C. Identify clients who are at risk for falls D. Notify staff of the increased fall rate

Correct Answer is C

Explanation

a. Reviewing current literature is important but is not the initial step in addressing the immediate problem of increased falls.
b. Implementing a fall prevention plan is crucial, but first, the nurse needs to identify which clients are at risk to tailor the plan effectively.
c. Identifying clients who are at risk for falls is the initial step to understand the scope and nature of the problem.
d. Notifying staff of the increased fall rate is important but should occur after identifying at-risk clients and implementing preventive measures.

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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?

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