A nurse is caring for a client who is being treated for acute opioid toxicity. The client has a do-not-resuscitate (DNR) prescription, but the family would like to remove it. Which of the following responses should the nurse make?
"The care team will discuss how to change the DNR prescription."
"I will ask the client's provider to change the prescription."
"A family member can change a DNR prescription once it has been signed."
"These are the client's wishes, and we must respect them."
The Correct Answer is D
Rationale:
A. "The care team will discuss how to change the DNR prescription.": While discussions about code status may occur, the care team cannot override the client’s documented wishes. Focusing on changing the DNR for the family disregards the ethical and legal principle of patient autonomy.
B. "I will ask the client's provider to change the prescription.": The provider cannot unilaterally change a DNR order without the client’s consent. Doing so would violate the client’s legal rights and established advance directive.
C. "A family member can change a DNR prescription once it has been signed.": Only the client has the authority to modify or revoke a DNR unless the client is incapacitated and has legally designated a healthcare proxy. Family members do not have the right to override the client’s documented wishes arbitrarily.
D. "These are the client's wishes, and we must respect them.": The nurse’s response acknowledges the ethical and legal obligation to honor the client’s autonomy. DNR orders reflect the client’s informed decisions about life-sustaining treatments, which must be respected even if family members disagree.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Banana slices: Soft, manageable, and cut into small pieces, banana slices are safe for a toddler to pick up and self-feed. They promote fine motor skill development and independence while minimizing the risk of choking.
B. Popcorn: Popcorn is a choking hazard for toddlers because it is small, hard, and easily inhaled. It is unsafe for children under 4 years and should be avoided when promoting independent eating.
C. Grapes: Whole grapes are also a significant choking risk. If given, they must be cut into small, manageable pieces, so serving them whole does not support safe independent eating.
D. Hot dog: Whole hot dogs are cylindrical and firm, posing a high choking risk for toddlers. Even when sliced lengthwise or chopped, supervision is required, and they are less suitable for promoting safe self-feeding compared to soft fruits like banana slices.
Correct Answer is A
Explanation
Rationale:
A. "Biofeedback requires concentration to control physiological responses.": Biofeedback is a technique that helps clients gain voluntary control over involuntary bodily functions, such as muscle tension, heart rate, or skin temperature. Through focused concentration and real-time feedback from monitoring devices, clients learn to reduce stress and prevent migraine triggers.
B. “Biofeedback improves energy flow through soft tissue manipulation to increase circulation.": This description aligns more with massage or energy-based therapies, not biofeedback. Biofeedback does not involve physical manipulation of tissues but relies on monitoring and controlling physiological responses through mental focus.
C. "Biofeedback uses herbs to reduce inflammation": Herbal therapy is a complementary approach unrelated to biofeedback. Biofeedback does not incorporate herbal remedies and instead emphasizes self-regulation techniques using bio-monitoring equipment.
D. “Biofeedback stimulates certain pressure points to relax muscles": Stimulating pressure points is characteristic of acupressure or acupuncture, not biofeedback. While muscle relaxation is a goal of biofeedback, it is achieved through self-regulation and feedback, not external stimulation.
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