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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bias: Bias is a personal or systemic prejudice, not an ethical principle.
B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.
C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.
D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.
Correct Answer is D
Explanation
A. Orientation phase : The orientation phase is when trust begins to form but is not yet solidified.
B. Identification phase: During this phase, the client begins to work with the nurse but has not yet fully accepted interventions.
C. Resolution phase: This phase is the termination of the nurse-client relationship, where trust has already been established.
D. Working phase: The working phase is when trust is fully developed, and the client actively engages in the care process.
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