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. This statement indicates an understanding of droplet precautions, as wearing a surgical mask within 3 feet of the client helps prevent the transmission of respiratory droplets.

b. While having a room with a high-efficiency particulate air filtration system may be beneficial, it is not specific to droplet precautions.
c. Wearing an N95 respirator is typically reserved for airborne precautions, not droplet precautions.

d. Assigning the client to a room with positive airflow is not a standard practice for implementing droplet precautions.

A. "I will ask your mother's primary care provider to speak with you." B. "What would you like to know about your mother's treatment?" C. "You will have to speak directly to your mother about her treatment." D. "I cannot provide this information to you without your mother's consent."

Correct Answer is D

Explanation

a. Asking the primary care provider to speak with the child may be appropriate, but it does not address the issue of consent.

b. Asking what the child would like to know does not address the issue of confidentiality and consent.

c. Telling the child to speak directly to the mother does not address the nurse's responsibility to maintain confidentiality.

d. The nurse must adhere to laws and regulations regarding patient confidentiality and can only share personal health information with the consent of 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

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