A community health nurse is discussing advance directives with a client. The nurse should identify that which of the following statements made by the client indicates an understanding of the purpose of advance directives?

They ease the difficult decisions faced by those involved in my care.

They decrease the potential for receiving palliative care.

They help to uphold the ethical principle of veracity.

They detail my doctor's decisions about my end-of-life care.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is true and relevant. Advance directives are legal documents that allow the client to express their wishes and preferences regarding their health care in case they become unable to communicate or make decisions. They ease the difficult decisions faced by those involved in the client's care, such as family members, health care providers, and legal representatives.

Choice B reason: This statement is false and misleading. Advance directives do not decrease the potential for receiving palliative care, but rather enable the client to choose whether they want to receive it or not. Palliative care is a type of care that focuses on relieving pain and suffering and improving quality of life for clients with serious or terminal illnesses.

Choice C reason: This statement is partially true, but not the best answer. Advance directives help to uphold the ethical principle of veracity, which means telling the truth and respecting the client's autonomy and dignity. However, advance directives also help to uphold other ethical principles, such as beneficence, nonmaleficence, and justice.

Choice D reason: This statement is false and misleading. Advance directives do not detail the doctor's decisions about the client's end-of-life care, but rather detail the client's own decisions and preferences. The doctor's role is to respect and follow the client's wishes as much as possible, unless they conflict with the law or profession

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.

Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².

Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.

Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.

Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescents⁴.

A. "Describe the place where you are currently living." B. "Apply moisture barrier ointment three times a day." C. "A social worker can help you with the cost of supplies." D. "Eat a balanced diet with high-protein snacks."

Correct Answer is A

Explanation

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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A community health nurse is discussing advance directives with a client. The nurse should identify that which of the following statements made by the client indicates an understanding of the purpose of advance directives?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply)

Correct Answer is ["B","D","E"]

Explanation

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Correct Answer is A

Explanation

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