The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

"This form provides caregivers with information about your financial resources."

"This form is a requirement for admission to the hospital, so I need you to sign this today."

"You have the right to make your own decisions about your health care and end-of-life treatment."

"You would feel at ease by having this form which would lessen your family's involvement in your care."

Answer and Explanation

The Correct Answer is C

A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.

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Correct Answer is B

Explanation

A. Referring a client with hypertension to a nutritionist is a secondary prevention intervention, aimed at managing an existing risk.
B. Educating adolescents about the dangers of substance abuse is a primary prevention intervention, aimed at preventing the onset of substance abuse.
C. Teaching a diabetic patient about foot care and regular check-ups is a secondary prevention measure focused on managing existing disease.
D. Administering antibiotics is a tertiary prevention measure aimed at treating an existing infection.

A. "You don't need to worry about the client as this is a normal sign of dying." B. "This can often lead to a sense of peacefulness for the client." C. "Let's try to plan a schedule for giving the client high-calorie liquids." D. "I can get a prescription for a feeding tube if you think this would be okay with the client."

Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, dismissing it without addressing the emotional or physical needs of the client and family is not appropriate.
B. Refusing to eat can be part of the natural process of dying and can lead to a sense of peacefulness as the body naturally shuts down. This approach acknowledges the process while supporting the family.
C. Planning a schedule for high-calorie liquids may not be appropriate in the context of end-of-life care, where the focus is often on comfort rather than nutritional intake.
D. Prescribing a feeding tube is typically not recommended in hospice care, where the focus is on comfort and quality of life rather than invasive interventions.

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The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention best exemplifies primary prevention?

Correct Answer is B

Explanation

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

Correct Answer is B

Explanation

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