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A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.

Which of the following statements should the nurse make?

A.

“A social worker will assist you to find affordable legal representation.”.

B.

“Advance directives can be signed without legal representation.”.

C.

“We can initiate medical care until you get legal assistance in preparing your advance directives.”.

D.

Advance directives can be a verbal agreement between you and your provider until legal review can be obtained.

Answer and Explanation

The Correct Answer is B

The correct answer is: B

Choice A reason: A social worker may assist clients in many ways, including finding legal representation. However, this statement does not address the client’s concern about the cost of legal representation for advance directives. It’s important to note that while social workers can provide support, they do not eliminate the need for legal representation if the client chooses to seek it.

Choice B reason: This is the correct statement because advance directives do not require legal representation to be valid. They become legally binding when signed in front of the required witnesses. This option directly addresses the client’s concern about affording legal representation by informing them that it is not necessary for the creation of advance directives.

Choice C reason: While medical care can be initiated without advance directives, this statement does not address the client’s concern about the cost of creating advance directives. It also implies that medical care is contingent on the completion of legal documents, which is not accurate.

Choice D reason: Verbal agreements are not as legally binding as written advance directives and could lead to misunderstandings or disputes later on. It is important for the client to have a clear and documented advance directive, which does not necessarily require legal review to be valid.


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Related Questions

Correct Answer is B

Explanation

The correct answer is choice B. Isolate the client from staff who are pregnant. Choice A rationale: Aspirin should not be administered to children or adolescents with viral infections like rubella due to the risk of Reye's syndrome, a potentially fatal condition that causes liver and brain damage. Choice B rationale: Rubella (German measles) is particularly dangerous for pregnant women because it can cause congenital rubella syndrome in the fetus, leading to severe birth defects. Therefore, isolating the client from pregnant staff is crucial to prevent exposure. Choice C rationale: Airborne precautions are not necessary for rubella. Rubella is transmitted through respiratory droplets, so droplet precautions, not airborne precautions, are appropriate. Choice D rationale: Koplik spots are associated with measles (rubeola), not rubella. Therefore, monitoring for Koplik spots is not relevant for a client with rubella.

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale:

  • Acknowledges the client's feelings:It's important for the nurse to validate the client's concerns and let them know that it's understandable to feel nervous or uncertain about ECT.
  • Provides information about the treatment:The nurse can offer information about the potential benefits of ECT,but it's important not to pressure the client or make them feel like they have to go through with it.
  • Reassures the client of their right to change their mind:This is a crucial aspect of informed consent.The client has the right to withdraw their consent at any time,even after signing the consent form.

Choice B rationale:

  • Places undue pressure on the client:This response implies that the doctor knows what's best for the client and that the client should go through with the treatment even if they have doubts.This can undermine the client's autonomy and decision-making ability.

Choice C rationale:

  • May minimize the client's concerns:While rescheduling the treatment is an option,it's important to explore the client's concerns more thoroughly before suggesting this.It's possible that the client has valid reasons for not wanting to go through with ECT,and these reasons should be addressed.

Choice D rationale:

  • Is disrespectful of the client's autonomy:This response suggests that the client is obligated to go through with the treatment simply because they signed a consent form.This ignores the fact that people can change their minds and that consent is an ongoing process.

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