A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?
“You only need to provide a copy to your family."
"Advance directives are not needed for individuals who have a mental illness."
"Giving you legal advice about advance directives is outside my scope of practice."
"You should provide a copy to your providers, family members, and lawyer."
The Correct Answer is D
A. "You only need to provide a copy to your family." While family members should have a copy, they are not the only ones who need it. Healthcare providers and legal representatives should also have access.
B. "Advance directives are not needed for individuals who have a mental illness." Clients with mental illness can and should have advance directives, especially regarding psychiatric treatment preferences.
C. "Giving you legal advice about advance directives is outside my scope of practice." While nurses cannot provide legal advice, they can educate clients on the importance of advance directives and who should receive a copy.
D. "You should provide a copy to your providers, family members, and lawyer." Advance directives should be shared with healthcare providers, family members, and legal representatives to ensure they are followed in case of a crisis.
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Related Questions
Correct Answer is D
Explanation
A. "Reinforce the importance of treatment to a client who speaks a language different from the nurse." Effective communication requires using an interpreter rather than reinforcing information in a language the client may not understand.
B. "Minimize contact with a client who is angry." Avoiding an angry client can damage trust. The nurse should use therapeutic communication techniques to address their concerns.
C. "Use clinical terminology to help a client better understand their diagnosis." Clinical terminology can be confusing. The nurse should use simple, clear language to explain medical concepts.
D. "Fulfill a promise by allowing a client to visit with family members." Keeping promises builds trust and demonstrates reliability, a key component of the nurse-client relationship.
Correct Answer is C
Explanation
A. “Clients must always have a family member present during treatment to ensure their rights are protected.” Clients have the right to privacy and do not require a family member’s presence for treatment unless legally mandated (e.g., minors).
B. "Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others." Clients can be discharged when they are no longer a risk, even if they disagree, unless under a legal hold.
C. "Clients have the right to refuse medication unless a court order mandates it." Clients have the right to refuse treatment unless a court order requires medication for safety or competency.
D. "All client interactions must be recorded, even if they are informal and unrelated to their care plan." Only relevant, objective, and care-related information should be documented, as excessive documentation can violate privacy.
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