A nurse on a medical-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's not mandatory for a health care proxy to be a member of the client's family; the most important aspect is appointing someone the client trusts to make decisions on their behalf.
B.   A health care proxy is someone designated by the client to make medical decisions when the client is unable to do so, based on the client's preferences and wishes.
C.   While it's advisable to have an advance directive in place before procedures or when facing serious illnesses, the timing of appointing a health care proxy should not be confined to only these situations.
D.   It is not necessary for an attorney to approve the appointment of a health care proxy; the client can designate someone they trust without legal counsel's approval.

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Correct Answer is ["A","C","E"]

Explanation

A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.

A. A client receives an operation on the wrong side of her body. B. A parent wants her 14-year-old adolescent to receive radiation treatment against his will C. A visitor experiences a minor burn after spilling coffee. D. A nurse witnesses another nurse administer an incorrect medication

Correct Answer is B

Explanation

A. A client receiving an operation on the wrong side of the body is a serious medical error but might not inherently involve an ethical dilemma unless the decision-making process and accountability are in question.
B. A parent wanting a 14-year-old adolescent to receive radiation treatment against his will involves conflicting values of autonomy, beneficence, and parental rights,
constituting an ethical dilemma.
C. A visitor experiencing a minor burn is an incident but doesn't inherently pose an ethical dilemma.
D. A nurse witnessing another nurse administering an incorrect medication is a patient safety issue but might not inherently involve an ethical dilemma unless there are questions about reporting or intervening in the situation.

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A nurse on a medical-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

A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client's care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

Correct Answer is B

Explanation

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia.Which of the following actions by the AP should the nurse identify as correct technique?

A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?

A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality?

A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?