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.
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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Related Questions
Correct Answer is B
Explanation
According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.
Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.
Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.
Choice C is wrong because good communication skills are not related to addictive
behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.
Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.
Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.
Correct Answer is C
Explanation
This is because responding inappropriately to questions can indicate that the client has difficulty hearing or understanding what is being asked. According to, hearing loss makes communication with the outside world difficult, and can result in new or exaggerated symptoms that are mistakenly attributed to cognitive decline.
Choice A is wrong because speaking in a low voice does not necessarily imply hearing loss. It could be due to other factors such as shyness, anxiety, or vocal cord problems.
Choice B is wrong because refusing to answer questions does not necessarily imply hearing loss.
It could be due to other factors such as lack of interest, defiance, or distrust.
Choice D is wrong because looking away from persons while speaking does not necessarily imply hearing loss.
It could be due to other factors such as cultural norms, eye contact avoidance, or distraction.
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