The family members of an older adult client are expressing disagreement over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney. The client is oriented to person, place, and time. Which of the following people has the legal authority to make the care decision?
The partner
The oldest adult child
The client
The provider
The Correct Answer is C
Choice A reason: The partner does not have the legal authority to make the care decision for the client, unless they are designated as the health care proxy or surrogate. The partner may have a personal or emotional interest in the client's well-being, but they cannot override the client's wishes or rights.
Choice B reason: The oldest adult child does not have the legal authority to make the care decision for the client, even though they have durable power of attorney. The durable power of attorney only becomes effective when the client is incapacitated or unable to make their own decisions. Since the client is oriented to person, place, and time, they are presumed to have the mental capacity to consent or refuse treatment.
Choice C reason: The client has the legal authority to make the care decision for themselves, as long as they are competent and informed. The client has the right to self-determination and autonomy, which means they can choose what is best for their own health and well-being. The client's decision should be respected and honored by the provider and the family members.
Choice D reason: The provider does not have the legal authority to make the care decision for the client, unless there is an emergency or a court order. The provider has the duty to inform the client of the benefits and risks of the surgery, and to obtain the client's consent before proceeding. The provider cannot coerce or force the client to undergo the surgery against their will.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.
Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.
Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.
Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.
Correct Answer is B
Explanation
Choice A reason: Candidiasis is not a reportable infection. It is a fungal infection that causes vaginal itching and discharge. It is not a sexually transmitted infection, but it can occur after antibiotic use or hormonal changes.
Choice B reason: Gonorrhea is a reportable infection. It is a bacterial infection that causes genital discharge, pain, and bleeding. It can also spread to other parts of the body and cause serious complications. It is a sexually transmitted infection that can be prevented by using condoms and treated with antibiotics.
Choice C reason: Human papillomavirus is not a reportable infection. It is a viral infection that causes genital warts and cervical cancer. It is a sexually transmitted infection that can be prevented by using condoms and getting vaccinated.
Choice D reason: Trichomoniasis is not a reportable infection. It is a parasitic infection that causes vaginal itching, burning, and odor. It is a sexually transmitted infection that can be treated with antiparasitic drugs.
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