A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?

The daughter will make all of the client’s health care decisions.

No extraordinary means, such as cardiopulmonary resuscitation, will be initiated.

The directive takes effect only if the client is incapable of personally making health care decisions.

The closest relative, such as the spouse, must still be consulted before the daughter in making health care decisions.

Answer and Explanation

The Correct Answer is C

The directive takes effect only if the client is incapable of personally making health care decisions. This statement demonstrates an understanding of health care proxy and care because it reflects the definition of a health care proxy as a person who can make health care decisions for the client only when the client is unable to communicate these themselves.

Choice A is wrong because the daughter does not have the authority to make all of the client’s health care decisions, only those that the client has not specified in advance or that are not covered by the living will.

Choice B is wrong because no extraordinary means, such as cardiopulmonary resuscitation, will be initiated only if the client has expressed this preference in a living will or a do-not-resuscitate order.

Choice D is wrong because the closest relative, such as the spouse, does not have to be consulted before the daughter in making health care decisions, unless the client has designated them as an alternate proxy.

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Correct Answer is C

Explanation

“I have limited my alcohol intake before bedtime.”. This statement shows that the client understands that alcohol can interfere with sleep quality and quantity. Alcohol can disrupt the normal sleep cycle and cause frequent awakenings, nightmares, or insomnia.

Choice A is wrong because sleeping in most mornings can disrupt the regular sleep schedule and make it harder to fall asleep at night. It is better to keep a consistent bedtime and wake time, even on weekends.

Choice B is wrong because working on the computer before going to bed can expose the client to blue light, which can suppress the production of melatonin, a hormone that regulates sleep. It is better to avoid screens and other stimulating activities at least an hour before bedtime.

Choice D is wrong because watching television for 1 hour before sleeping can also expose the client to blue light and interfere with sleep onset. It is better to engage in relaxing activities such as reading, listening to soothing music, or meditating before sleeping.

A. Teaching a client how to use a pillow to support an incision when coughing. B. Checking the pedal pulses of the bed-bound clients. C. Ambulating the first-day postoperative clients. D. Emptying the urine drainage bags at least once per shift.

Correct Answer is D

Explanation

Emptying the urine drainage bags at least once per shift is a task that can be delegated to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit.

This task does not require assessment, teaching, or evaluation skills that are beyond the scope of practice of UAP.

Choice A is wrong because teaching a client how to use a pillow to support an incision when coughing requires education and evaluation skills that are only within the scope of practice of licensed nurses.

Choice B is wrong because checking the pedal pulses of bed-bound clients requires assessment skills that are only within the scope of practice of licensed nurses.

Pedal pulses are important indicators of peripheral circulation and vascular status.

Choice C is wrong because ambulating the first-day postoperative clients requires assessment and evaluation skills that are only within the scope of practice of licensed nurses.

First-day postoperative clients may have complications such as bleeding, infection, or hypotension that need to be monitored by a nurse.

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A client with terminal cancer is admitted to hospice care. The daughter is documented as the client’s health care proxy agent. Which statement made by the nurse demonstrates an understanding of health care proxy and care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement, if made by a client diagnosed with sleep disturbance, should a nurse evaluate as correct understanding of the plan of care to improve sleep patterns?

Correct Answer is C

Explanation

Which task could a nurse delegate to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit?

Correct Answer is D

Explanation

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A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?