6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive procedure”
“It is necessary for an attorney to approve your health care proxy”
The Correct Answer is B
a. This is incorrect because a health care proxy doesn't necessarily have to be a family member. It can be any person chosen by the individual.
b. This is the correct response because it accurately describes the role of a health care proxy, which is to make decisions for the individual when they are unable to do so themselves.
c. This is incorrect because appointing a health care proxy is not contingent upon undergoing an invasive procedure.
d. This is incorrect because the involvement of an attorney is not necessary to appoint a health care proxy.
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Correct Answer is D
Explanation
A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.
B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.
C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.
D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation
Correct Answer is A
Explanation
a. Before taking any further action, the charge nurse should first determine the reasons why the nurses are not taking their scheduled breaks. Understanding the underlying causes will help address the issue effectively.
b. Providing coverage for the nurses' breaks may be necessary but should not be the first action taken. It is important to understand why the nurses are not taking breaks before providing coverage.
c. While reviewing facility policies is important, it should not be the first step when addressing the issue of nurses not taking breaks.
d. Discussing time management strategies with the nurses may be helpful, but it should come after understanding the reasons behind their behavior.
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