Which statement is true concerning advanced directives?
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status.
The document means nothing to the nurse because the attending physician will decide the client's care.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates.
The Correct Answer is C
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status: This statement is partially correct. Advanced directives may include naming a healthcare proxy or DPOAHC, but their decisions are typically in line with the client's expressed wishes, especially if those wishes are documented in the advanced directive.
The document means nothing to the nurse because the attending physician will decide the client's care: This statement is incorrect. Advanced directives are legally binding documents that guide medical decisions when the client is unable to communicate or make decisions.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated: This statement is true. Advanced directives empower clients to make decisions about their healthcare preferences, including the desire for life-sustaining measures, in the event they become unable to communicate their wishes.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates: This statement is incorrect. The nurse should always follow appropriate protocols and initiate necessary interventions regardless of the presence of advanced directives, especially if the client's condition deteriorates.
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Related Questions
Correct Answer is A
Explanation
Living will: A living will is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves due to illness or incapacity. It outlines the medical treatments an individual would like to receive or not receive, particularly in end-of-life situations.
Client's Bill of Rights: This document outlines the rights and responsibilities of clients receiving medical care. It does not specifically contain a client's written wishes about healthcare decisions in case of incapacity.
Welfare rights: Welfare rights refer to the legal rights of individuals to receive assistance from the government, typically in the form of financial aid or social services, to meet basic needs like food, shelter, and healthcare. This is not related to healthcare decision-making for incapacitated individuals.
Informed consent: Informed consent is the process where a patient is informed about the potential risks, benefits, and alternatives of a medical procedure or treatment. While important for medical decision-making, it is not the specific document where a client's written wishes about healthcare decisions are recorded for situations where they are unable to make decisions themselves.
Correct Answer is A
Explanation
A Do Not Resuscitate (DNR) order is indeed legally separate from advance directives. While both deal with medical interventions, they are distinct concepts:
Advance directives are legal documents that allow individuals to specify their medical treatment preferences in case they become unable to communicate or make decisions. These can include living wills, durable power of attorney for healthcare, and healthcare proxies. Advance directives provide a broader set of instructions regarding medical care and decision-making.
DNR orders, on the other hand, specifically address the issue of cardiopulmonary resuscitation (CPR). A DNR order instructs healthcare providers not to attempt CPR if a person's heart stops beating or they stop breathing. DNR orders are often a part of a person's broader advance directives, but they focus specifically on resuscitation efforts.
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