A nurse is caring for a client who has dementia and is scheduled for a procedure. Which of the following individuals should the nurse request to sign the client's informed consent?
The client's son, who has a durable power of attorney.
The client's sister, who assists with finances.
The client's daughter, who is the primary caregiver.
The client, who has advance directives.
The Correct Answer is A
The nurse should request the client's son, who has a durable power of attorney, to sign the client's informed consent. A durable power of attorney is a legal document that allows an individual to appoint someone to make decisions on their behalf in the event that they become unable to do so. If the client has dementia and is unable to provide informed consent for the procedure, the individual with a durable power of attorney has the legal authority to make decisions on their behalf.
The other individuals are not the appropriate person to sign the client's informed consent. The client's sister [b] and daughter [c] may be involved in the client's care and decision-making, but they do not have the legal authority to provide informed consent on behalf of the client unless they have been designated as such in a legal document. Advance directives [d] are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care, but they do not grant decision-making authority to another individual.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Effective delegation by an LPN includes compliance with state and institutional policies, evaluation of the patient's response to care, knowledge of each patient's condition, and determination of tasks that can be safely delegated.
Option Bmay not always be necessary as direct supervision may not always be required for all tasks assigned to others.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: Offering to help the AP complete the tasks may seem like a good solution in the short term. However, this approach does not address the underlying issue, which is that the AP was not able to complete these tasks the previous day. The nurse’s role is to delegate tasks appropriately and ensure that all tasks are completed in a timely manner. If the nurse takes over the AP’s tasks, it could lead to an imbalance in the workload and could potentially overburden the nurse. Therefore, while this choice may seem helpful, it is not the most effective solution to the problem.
Choice B rationale: Assigning a more qualified staff member to the tasks could be a potential solution if the AP’s inability to complete the tasks was due to a lack of skills or knowledge. However, without more information, it’s not clear that this is the case. Furthermore, this approach could lead to resentment among staff if it appears that tasks are not being distributed fairly. Therefore, while this choice could be a potential solution, it is not the most effective solution given the information provided.
Choice C rationale: Planning a more reasonable job assignment is the most effective solution to this problem. If the AP was not able to complete the tasks the previous day, it suggests that the workload was too heavy or the tasks were too complex. By reassessing the job assignment and making it more manageable, the nurse can ensure that all tasks are completed in a timely manner. This approach respects the abilities and limitations of the AP, promotes a fair distribution of tasks, and ensures the best care for the clients.
Choice D rationale: Setting a time frame for the AP to complete the tasks could be a potential solution if the issue was that the tasks were not completed in a timely manner. However, if the AP was not able to complete the tasks at all, simply setting a time frame may not resolve the issue. This approach could also add unnecessary pressure on the AP, which could lead to rushed or substandard work. Therefore, while this choice could be a potential solution, it is not the most effective solution given the information provided.
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