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.

Answer and Explanation

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 A

Explanation

The response by the accused nurse that demonstrates assertiveness is "I feel as though I met the standard of care. Would you tell me more about your concerns?" This response shows that the nurse is confident in their actions and is willing to listen to the concerns of the other nurse in a respectful and professional manner.
Option B is incorrect because it is defensive and does not address the concerns of the other nurse.
Option C is incorrect because it does not demonstrate assertiveness or confidence in the nurse's actions.
Option D is incorrect because it is confrontational and does not address the concerns of the other nurse in a respectful and professional manner.

A. Encourage the nurse to verbalize the reasons for resistance to the change. B. Ignore the resistance and allow peer pressure to facilitate a change in the nurse's behavior. C. Explain the importance and rationale of implementing the new policy to the nurse. D. Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.

Correct Answer is A

Explanation

If a nurse manager notices that a nurse who has a history of being resistant to change is not delivering care according to a new policy, the appropriate action for the nurse manager to take is to encourage the nurse to verbalize the reasons for their resistance to the change. This will allow the nurse manager to understand the nurse's concerns and work with them to address any issues and facilitate their acceptance of the new policy.
Option B is incorrect because ignoring the resistance and allowing peer pressure to facilitate a change in the nurse's behavior is not an eﬀective or respectful way to address the issue.
Option C is incorrect because explaining the importance and rationale of implementing the new policy to the nurse may be necessary, but it should not be the first action taken.
Option D is incorrect because indicating that there will be disciplinary consequences if the nurse does not implement the new policy may be necessary, but it should not be the first action taken.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day. Which of the following responses by the accused nurse demonstrates assertiveness?

Correct Answer is A

Explanation

A medical-surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?

Correct Answer is A

Explanation

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