An older client is admitted to the hospital for treatment of pneumonia. The client has a court appointed conservator who manages her finances. The nurse understands what fact about the situation?
The conservator will function in the same capacity as a health care proxy
This client does not have the capacity to give informed consent for any procedures
The presence of a conservator does not mean the client cannot give informed consent
The needs to provide all educational materials to the conservator instead of the client
The Correct Answer is C
A. The conservator will function in the same capacity as a health care proxy.
Explanation: A conservator and a health care proxy serve different roles. A conservator is appointed by a court to manage financial affairs, while a health care proxy is designated to make medical decisions on behalf of the individual if they are unable to do so. These roles are not interchangeable.
B. This client does not have the capacity to give informed consent for any procedures.
Explanation: The presence of a conservator alone does not automatically indicate a lack of capacity to give informed consent. Capacity for making healthcare decisions is determined on an individual basis and may vary depending on the client's cognitive and decision-making abilities.
C. The presence of a conservator does not mean the client cannot give informed consent.
Explanation: Having a court-appointed conservator to manage finances does not automatically imply that the client lacks the capacity to provide informed consent for medical procedures. The ability to make healthcare decisions, including giving informed consent, is distinct from financial capacity. Even if a conservator is appointed for financial matters, the client may still have the capacity to participate in decisions related to their health and medical treatment.
D. The nurse needs to provide all educational materials to the conservator instead of the client.
Explanation: Educational materials related to the client's healthcare should be provided directly to the client whenever possible. While the conservator may be involved in financial matters, the client should still receive relevant information regarding their health and medical care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Night lights
Explanation: Night lights can enhance visibility during nighttime, reducing the risk of falls. The nurse may actually recommend using night lights strategically to illuminate pathways, especially in areas like hallways and bathrooms.
B. Excess clutter
Explanation: Excess clutter on floors can increase the risk of tripping and falling. Removing or organizing clutter helps create a safer environment for the older adult.
C. Loose carpeting on the floors
Explanation: Loose or wrinkled carpeting poses a tripping hazard. The nurse may recommend securing or replacing loose carpeting to prevent falls.
D. Railings on the stairway
Explanation: Railings on stairways are important safety features that provide support and stability. The nurse would likely recommend maintaining or installing railings to enhance stair safety.
E. The use of a cane
Explanation: If prescribed by a healthcare professional, the use of a cane can improve stability and balance for an older adult. The nurse may not recommend eliminating the use of a cane but may instead ensure that the client is using it correctly and that it is in good condition.
Correct Answer is B
Explanation
A. He is able to name objects with which he comes in contact correctly.
Explanation: Being able to name objects correctly indicates intact language and object recognition skills, which are positive aspects of cognitive function.
B. He is constantly checking to see whether what he did is correct.
Explanation: Constantly checking to see whether what he did is correct may be an indicator of anxiety or uncertainty about cognitive performance. While this behavior alone does not confirm cognitive impairment, it raises a question about the individual's confidence or potential challenges in decision-making.
C. He is able to hold a conversation with you.
Explanation: Holding a conversation demonstrates language and communication abilities, suggesting intact cognitive skills for social interaction.
D. His attention span will last as long as the project he is working on.
Explanation: Having an attention span that matches the duration of a project suggests a focused and goal-oriented approach, which can be a positive aspect of cognitive function.
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