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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: The charge nurse should address the situation of the emergency department nurse waiting to give report on a new admission first. This is the most urgent and time-sensitive issue that affects the client's safety and continuity of care. The charge nurse should assign a staff nurse to receive the report and prepare for the admission.

Choice B reason: The charge nurse should address the situation of a nurse on the previous shift writing an incident report about a medication error second. This is an important and serious issue that requires follow-up and corrective actions. The charge nurse should review the incident report, talk to the nurse involved, and implement measures to prevent future errors.

Choice C reason: The charge nurse should address the situation of two staff members calling to say they will be absent third. This is a significant and challenging issue that affects the staffing and workload of the unit. The charge nurse should contact the staffing office, request replacements, and adjust the assignments accordingly.

Choice D reason: The charge nurse should address the situation of transport assistance being unavailable to take a client to occupational therapy last. This is a minor and temporary issue that does not compromise the client's health or well-being. The charge nurse should contact the transport department, reschedule the therapy session, and inform the client and the therapist.

A. Provide the UAP with the infection control policy. B. Offer to assist the UAP with the collection of the specimen. C. Determine the UAP's knowledge about HIV transmission. D. Demonstrate the proper use of personal protective equipment.

Correct Answer is C

Explanation

The correct answer is c.

Choice A reason: Providing the UAP with the infection control policy is not the first action the charge nurse should take. The charge nurse should first assess the UAP's knowledge and understanding of HIV transmission and infection control measures.

Choice B reason: Offering to assist the UAP with the collection of the specimen is not the first action the charge nurse should take. The charge nurse should first address the UAP's fear and educate the UAP about HIV transmission and infection control measures.

Choice C reason: Determining the UAP's knowledge about HIV transmission is the first action the charge nurse should take. This will help the charge nurse identify any knowledge gaps or misconceptions the UAP may have and provide appropriate education and reassurance.

Choice D reason: Demonstrating the proper use of personal protective equipment is not the first action the charge nurse should take. The charge nurse should first assess the UAP's knowledge and understanding of HIV transmission and infection control measures.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

Correct Answer is A

Explanation

A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse about collecting a sputum specimen from a client who is HIV positive. Which action should the charge nurse take first?

Correct Answer is C

Explanation

A charge nurse is teaching a newly licensed nurse about caring for a client who has COPD. Which of the following instructions should the charge nurse include in the teaching?

A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?

A nurse is providing care for a client who is receiving chemotherapy. Which of the following actions should the nurse take?

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?