A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has advance directives.
The client is scheduled for a procedure that requires informed consent.
Which of the following persons should sign the informed consent?

The client’s daughter, who is the primary caregiver.

The client.

The client’s partner.

The client’s son, who has a durable power of attorney.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Administering oxygen via face mask is a common intervention for many complications during labor. However, it is not the first-line intervention for late decelerations. Late decelerations are a sign of fetal distress, often due to uteroplacental insufficiency. While oxygen can help increase oxygenation to the fetus, it does not address the root cause of the problem.

Choice B rationale

Elevating the patient’s legs is not typically the priority action when late decelerations are noted. This action would not alleviate the cause of late decelerations.

Choice C rationale

Having the patient turn to a side-lying position is often the first intervention when late decelerations are noted. This position helps increase blood flow to the placenta, potentially alleviating uteroplacental insufficiency and improving fetal oxygenation.

Choice D rationale

Increasing the infusion rate of IV fluids is not the first-line intervention for late decelerations. While it may be part of the management plan, it is not the priority action.

A. If the client is comfortable, they are more likely to continue to seek treatment. B. Without culturally competent care, the client might pay more out of pocket for treatment. C. Receiving culturally competent care can reduce the chance that the client will need psychotropic medications. D. Providing culturally competent care can reduce the client’s feelings that they are risking relationships and jobs by seeking care.

Correct Answer is A

Explanation

Choice A rationale

If a client is comfortable with the care they receive, they are indeed more likely to continue to seek treatment. Cultural competence in healthcare can help ensure that all patients, including those from underrepresented cultures, feel comfortable and understood. This can lead to increased patient engagement and better health outcomes.

Choice B rationale

While it’s true that without culturally competent care, a client might face financial barriers to treatment, it’s not a direct benefit of culturally competent care. The main benefits of culturally competent care are improved patient satisfaction, better health outcomes, and increased patient safety.

Choice C rationale

While receiving culturally competent care can have many benefits, reducing the chance that the client will need psychotropic medications is not directly related to cultural competence. The need for such medications is determined by a client’s specific health needs.

Choice D rationale

Providing culturally competent care can indeed help reduce a client’s fear of risking relationships and jobs by seeking care. By respecting and understanding a client’s cultural background, healthcare providers can help alleviate fears and misconceptions about seeking care. PregnancyPregnancy Explore

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a patient who is in active labor and recognizes late decelerations on the fetal monitor.The healthcare provider has been informed.What is the nurse’s priority action?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A client’s prenatal laboratory findings reveal no immunity to rubella.The health care provider orders the rubella vaccine.The nurse concludes that teaching about this medication is effective when the client states which of the following?

A client reports experiencing bleeding between menstrual periods during a health history interview.How should the nurse document this finding?

A nurse is reviewing the medical record of a client who has moderate Alzheimer's disease. Exhibits To effectively manage the provider prescriptions, which of the following tasks should the nurse assign to an assistive personnel (AP)?

A nurse is caring for a patient who is about to undergo a biophysical profile.The patient asks the nurse what will be evaluated during this test.Which of the following should the nurse include? (Select all that apply.)

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

A nurse is caring for a patient with diabetes and plans to administer regular insulin subcutaneously before breakfast at 0800.After checking the patient’s morning glucose level, what action should the nurse take?

A provider is evaluating labor progress and remarks that "there is plenty of room in the pelvis". The nurse should recognize this is part of the provider's assessment of which of the 5 P's?

A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has advance directives.
The client is scheduled for a procedure that requires informed consent.
Which of the following persons should sign the informed consent?