A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take?

Arrange for an ethics committee meeting to address the family's concerns.

Support the family's decision and initiate life-sustaining measures.

complete an incident report

Encourage the family to contact an attorney.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Arrange for an ethics committee meeting to address the family's concerns: An ethics committee helps resolve conflicts between families and healthcare teams while respecting patient autonomy and legal directives. This step promotes ethical decision-making and interdisciplinary collaboration.

B. Support the family's decision and initiate life-sustaining measures: Providing treatments against the client’s documented wishes violates ethical and legal standards. Advance directives must be honored, even when family members disagree.

C. Complete an incident report: An incident report is used to document errors or adverse events, not ethical conflicts. This situation requires ethical consultation and communication, not a formal incident report.

D. Encourage the family to contact an attorney: While families may seek legal counsel, it is not the nurse’s role to suggest legal action. This may escalate the conflict unnecessarily and delay proper ethical resolution.

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Correct Answer is C

Explanation

Rationale:

A. Emphasize vowel sounds when speaking: Vowel sounds are not as difficult to hear as consonants, especially for clients with sensorineural hearing loss. Overemphasizing vowel sounds can distort speech and make understanding more difficult.

B. Lower the tone of voice at the end of each sentence: Lowering the tone may cause parts of the message to be missed, especially if the client relies on lip-reading or residual hearing. A consistent tone and clear enunciation are more effective communication strategies.

C. Decrease background noise when talking with the client: Reducing background noise improves the client’s ability to focus on the speaker and hear more clearly. Background noise can interfere with hearing aids and make communication more challenging for individuals with hearing impairment.

D. Sit next to the client when speaking to them: Sitting next to the client may reduce their ability to see facial expressions or lip-read. It is more effective to sit directly in front of them and maintain eye contact to facilitate clear communication.

A. "My home has running water and electricity” B. “I wear a hat and long sleeves while I am working” C. “I am currently sharing my home with two roommates” D. “I eat vegetables directly from the field where i work”

Correct Answer is D

Explanation

Rationale:

A. "My home has running water and electricity": Access to utilities like water and electricity supports hygiene and food safety. This statement does not indicate a health risk and instead suggests a stable living environment.

B. “I wear a hat and long sleeves while I am working”: Wearing protective clothing helps reduce exposure to the sun, pesticides, and other environmental hazards, thereby promoting health and safety during outdoor labor.

C. “I am currently sharing my home with two roommates”: Sharing housing is common among migrant or seasonal workers. While crowding can pose a potential health risk, this specific scenario doesn’t indicate excessive crowding or direct danger.

D. “I eat vegetables directly from the field where I work”: Consuming unwashed produce from the field poses a significant risk for pesticide exposure and ingestion of harmful microbes. This practice is unsafe and could lead to acute or chronic health issues.

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A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

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