Which of the following BEST describes an advance directive?
A document that outlines the patient’s wishes regarding medical treatment.
A document that specifies the final arrangements for the patient.
A legal document that designates a person to make healthcare decisions for the patient.
A legal document that communicates the patient’s wishes regarding their care.
The Correct Answer is A
Choice A rationale
An advance directive is a legal document that outlines a patient’s wishes regarding medical treatment in situations where they are unable to communicate their decisions. It includes instructions on life-sustaining treatments, resuscitation, and other medical interventions. This ensures that the patient’s preferences are respected and followed by healthcare providers.
Choice B rationale
A document that specifies the final arrangements for the patient is not an advance directive. Final arrangements typically refer to funeral and burial plans, which are not related to medical treatment decisions. Advance directives focus on medical care and treatment preferences.
Choice C rationale
A legal document that designates a person to make healthcare decisions for the patient is known as a durable power of attorney for healthcare or healthcare proxy. While this is an important component of advance care planning, it is not the same as an advance directive. An advance directive specifically outlines the patient’s treatment preferences.
Choice D rationale
A legal document that communicates the patient’s wishes regarding their care is a broader description that can include various types of advance care planning documents. However, the best description of an advance directive is a document that outlines the patient’s wishes regarding medical treatment.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Asking why the patient hasn’t shared their feelings with their family is not therapeutic. It can come across as judgmental and may not encourage open communication.
Choice B rationale
Asking the patient to tell more about how they are feeling is therapeutic. It shows empathy and encourages the patient to express their emotions, which can be helpful in processing their feelings.
Choice C rationale
Telling the patient they are probably very depressed is not therapeutic. It labels their feelings and may not encourage further discussion.
Choice D rationale
Suggesting the patient talk with their family about their career is not relevant to the patient’s current emotional state and concerns.
Correct Answer is B
Explanation
Choice A rationale
Evaluation is the phase of the nursing process where the nurse assesses the effectiveness of the interventions and determines whether the patient’s goals have been met. Checking blood sugar before administering insulin is not part of the evaluation phase.
Choice B rationale
Assessment is the phase of the nursing process where the nurse gathers information about the patient’s condition. Checking the client’s blood sugar before administering insulin is an assessment activity, as it involves collecting data to determine the patient’s current blood glucose level.
Choice C rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data. Checking blood sugar is not part of the planning phase; it is an assessment activity.
Choice D rationale
Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the plan of care. While administering insulin is part of the implementation phase, checking blood sugar is an assessment activity that occurs before the implementation of the intervention.
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