The nurses talking with the spouse of an older adult client who has been diagnosed with dementia. The spouse states, "What will I do when my spouse cannot make decisions anymore?" Which of the following responses should the nurse make?
You have plenty of time to figure all of that out."
"Decisions will then be made for your spouse by the health care provider."
"Decisions should be made now for your spouse's future."
I can explain advance care planning to you."
The Correct Answer is D
A. "You have plenty of time to figure all of that out." This response is not proactive and may not address the urgency of planning for future decisions. It is important to address these issues sooner rather than later.
B. "Decisions will then be made for your spouse by the health care provider." Healthcare providers will make decisions based on medical criteria and the patient's current condition, but they will typically follow the wishes expressed in advance directives or legal documents.
C. "Decisions should be made now for your spouse's future." This is a proactive approach, but it's important to involve the spouse in the decision-making process.
D. "I can explain advance care planning to you." This is the most appropriate response. Advance care planning involves discussing the client's wishes regarding their future care, including decisions about life-sustaining treatments. By explaining this process, the nurse can help the spouse prepare for a time when the client may be unable to make their own decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.
B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.
C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.
D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.
Correct Answer is ["B","C","D","E"]
Explanation
A. Immunization record: While important for overall health, the immunization record is less directly related to current activity levels and exercise.
B. Daily activity level: This provides important information about the patient's current physical activity, which is relevant for assessing overall health and mobility.
C. Patient's response after the activity or exercise: Understanding how the patient responds after activity helps assess the impact of exercise on their health and mobility.
D. Problems with mobility or exercise: Identifying any problems with mobility or exercise helps in tailoring the patient’s activity plan and addressing any issues related to physical function.
E. External factors affecting mobility: External factors, such as environmental barriers or equipment, can significantly impact the patient’s mobility and should be considered in the assessment.
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