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.
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Correct Answer is D
Explanation
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.
Correct Answer is ["A","D"]
Explanation
Addressing the situation as soon as possible [a] and assisting the provider in identifying alternative solutions [d] are actions that display conflict resolution. Conflict resolution involves finding a peaceful and mutually acceptable solution to a disagreement or dispute. By addressing the situation promptly and helping the provider to identify alternative solutions, the charge nurse can facilitate communication and collaboration between the provider and the staff nurse and help to resolve the conflict.
The other options do not display conflict resolution. Using aggressive communication skills [b] can escalate the conflict and make it more difficult to find a resolution. Fostering closed communication [c] can also hinder the resolution of the conflict by preventing open and honest dialogue between the parties involved.
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