A nurse is caring for a client who has chosen a neighbor as their designee in their durable power of attorney for health care. The client is incapacitated and is scheduled for an endoscopy. The nurse should request that which of the following individuals provide consent for the procedure?
The neighbor.
The client's spouse.
The provider.
A member of the facility's ethics committee.
The Correct Answer is C
Choice A rationale:
The neighbor is not authorized to provide consent for the client's procedure. The durable power of attorney for health care typically designates someone to make medical decisions when the client is unable to do so, but the neighbor's role may not extend to medical procedure consent.
Choice B rationale:
The client's spouse might have a legal standing to make decisions for the client, but the durable power of attorney for health care typically takes precedence over the spouse's decision-making authority in situations where it has been established.
Choice C rationale:
The provider, in this case, the medical doctor or healthcare professional performing the endoscopy, has the authority to obtain consent for the procedure. Informed consent is a crucial ethical and legal requirement, and the provider must ensure that the client or their designated decision-maker understands the procedure, its risks, and benefits before proceeding.
Choice D rationale:
A member of the facility's ethics committee does not typically have the authority to provide consent for a specific medical procedure on behalf of an incapacitated client. The ethics committee's role is to provide guidance on ethical dilemmas and issues but not to provide individual procedural consent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: The client's present condition is the "Situation" component of SBAR. It identifies the immediate reason for the call and the current problem that requires the provider's attention or intervention.
Choice B rationale: Suggestions for the provider regarding client care constitute the "Recommendation" phase. This part involves the nurse proposing specific actions, tests, or treatments to address the identified clinical issue.
Choice C rationale: Physical findings are categorized under the "Assessment" portion of SBAR. This includes vital signs and clinical observations made by the nurse to evaluate the client's current physiological state.
Choice D rationale: Previous treatments belong in the "Background" section. This component provides historical context, including admitting diagnosis, medical history, allergies, and relevant interventions already performed to inform the provider.
Correct Answer is D
Explanation
Choice A rationale:
Large pieces of furniture do not necessarily create a significant risk for falls unless they are poorly placed or obstructing pathways. While they can potentially cause accidents, the likelihood of tripping over them is generally lower compared to other hazards.
Choice B rationale:
A bedside table next to the bed is not a significant fall risk factor. In fact, having a bedside table can be beneficial for the client, as it provides a convenient surface for placing items that the client might need during the night.
Choice C rationale:
Raised toilet seats, although they may pose a challenge for individuals with mobility issues, are typically installed to aid those with difficulty sitting down or standing up. They are not a primary risk factor for falls, especially when compared to other more hazardous factors.
Choice D rationale:
Throw rugs on hardwood floors are a significant fall risk factor, especially for older adults or individuals with mobility problems. The rugs can easily shift or bunch up, causing someone to trip and fall. Hardwood floors can also become slippery, and the combination of a throw rug on such a surface increases the risk of accidents. The rationale behind this choice is grounded in the potential for tripping and slipping hazards that these throw rugs can introduce, especially in individuals who might already have balance or mobility issues.
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