An 81-year-old client with a diagnosis of Alzheimer disease needs surgery. There is a living will on file. Which direction will the nurse follow to determine who should provide consent?

Whomever the client appointed will make medical decision.

The client will always give consent to any procedure.

The family will provide consent.

A court appointed conservator will be consulted.

Answer and Explanation

The Correct Answer is A

A. Whomever the client appointed will make medical decisions.

This choice reflects the principle of autonomy and respects the client's wishes as expressed in their living will. If the client has appointed a healthcare proxy or surrogate decision-maker in their living will, that individual would be authorized to make medical decisions, including providing consent for surgery, on behalf of the client. This option emphasizes the importance of honoring the client's preferences and autonomy in healthcare decision-making.

B. The client will always give consent to any procedure.

This choice is not accurate, particularly in situations where the client lacks decision-making capacity due to conditions such as Alzheimer's disease. If the client is unable to provide informed consent, the responsibility for decision-making may shift to a designated healthcare proxy or surrogate decision-maker as outlined in the client's living will. While the client's preferences and values should be considered, their ability to provide consent may be compromised by their medical condition.

C. The family will provide consent.

While family members may be involved in discussions about the client's care and may provide input, the ultimate responsibility for providing consent for medical procedures typically rests with the individual designated as the healthcare proxy or surrogate decision-maker in the client's living will. If the living will specifies a healthcare proxy, their role supersedes that of the family in decision-making regarding medical treatment.

D. A court-appointed conservator will be consulted.

In some cases where there is no living will or designated healthcare proxy, and the family is unable to reach a consensus on medical decisions, a court-appointed conservator may become involved to make decisions on behalf of the client. However, the involvement of a conservator is typically a last resort and may not be necessary if there is a living will specifying a healthcare proxy or surrogate decision-maker. The involvement of a conservator would be determined through legal proceedings and may not be the primary course of action in situations where the client's wishes are clearly outlined in a living will.

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Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations.

- This choice emphasizes the importance of aligning medical treatments with the cultural expectations of patients. Culturally competent healthcare providers recognize that cultural beliefs, values, and preferences can influence individuals' perceptions of illness and treatment. By understanding a patient's cultural background, healthcare providers can adapt treatment plans to be more acceptable and effective within the cultural context. This approach fosters trust and cooperation between patients and healthcare providers, ultimately improving health outcomes.

B. Increase compliance among minority clients.

- This choice suggests that understanding culture can lead to increased compliance with medical recommendations among minority clients. Culturally competent care involves acknowledging and respecting cultural differences in healthcare beliefs and practices. By incorporating cultural considerations into healthcare delivery, providers can enhance patient trust and engagement, leading to improved adherence to treatment plans and better health outcomes, particularly among minority populations who may face unique cultural barriers to accessing and utilizing healthcare services.

C. Provide individualized and culturally sensitive care.

- This choice emphasizes the broader goal of providing individualized and culturally sensitive care to all patients, regardless of their cultural background. Culturally competent healthcare involves recognizing and respecting the diversity of patients' cultural beliefs, values, and practices, and tailoring care to meet their unique needs and preferences. By delivering care that is responsive to cultural differences, healthcare providers can ensure that patients feel valued, understood, and respected, leading to improved patient satisfaction and better health outcomes.

D. Ensure that clients get the respect customary in their own ethnic group.

- This choice highlights the importance of providing respect to patients in a manner that aligns with their own cultural norms and values. Culturally competent care involves recognizing and honoring patients' cultural identities and customs, including expectations regarding respect and dignity. Healthcare providers who understand the cultural context of their patients can ensure that interactions are conducted in a manner that is respectful and appropriate, fostering trust and rapport between providers and patients and promoting positive healthcare experiences.

A. Wrongful acts against another party B. Licensing of a home health agency C. Invasion of a client's privacy D. Battery of a client

Correct Answer is B

Explanation

A. Wrongful acts against another party:

This situation typically falls under civil law, specifically tort law. Wrongful acts against another party, such as negligence or malpractice by a nurse, result in civil lawsuits where the injured party seeks compensation for damages. It involves private disputes between individuals rather than matters of public law.

B. Licensing of a home health agency:

This situation pertains to public law. Licensing of home health agencies involves governmental regulations and oversight to ensure that these agencies meet specific standards of care and safety. It is a matter of public concern because it involves the protection of the public's health and welfare by regulating healthcare services provided to individuals in their homes.

C. Invasion of a client's privacy:

Invasion of privacy typically falls under civil law, particularly tort law related to privacy violations. It involves individuals' rights to be free from unwarranted intrusion into their personal affairs or private matters. While privacy rights are important and protected by law, they are typically addressed through civil litigation rather than public law.

D. Battery of a client:

Battery is a legal term in civil and criminal law referring to the intentional and unlawful touching of another person without their consent. In the context of nursing practice, battery could occur if a nurse performs a procedure on a patient without obtaining proper consent or against the patient's wishes. Like wrongful acts against another party, battery generally falls under civil law and may result in legal action brought by the injured party.

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An 81-year-old client with a diagnosis of Alzheimer disease needs surgery. There is a living will on file. Which direction will the nurse follow to determine who should provide consent?

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