A nurse is caring for an older adult client who reports difficulty making health-related decisions. The client asks if it is possible to have a trusted friend make these decisions. Which of the following actions should the nurse take first?
Call the provider to discuss the client's preference with them and their family.
Explain to the client the process of designating another individual to make decisions for them.
Ask the client to discuss these preferences with their family first.
Ask the client if they would like their wishes documented in their health care records.
The Correct Answer is B
A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.
B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.
C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.
D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Do you snore loudly?": Loud snoring is a common symptom of sleep apnea, particularly obstructive sleep apnea. The nurse should inquire about snoring, as it may indicate airway obstruction during sleep, a key feature of the condition.
B. "What time do you go to bed?": While bedtime habits are relevant to sleep hygiene, the specific timing of going to bed is not as directly related to diagnosing sleep apnea. Other questions, such as snoring or breathing patterns, are more relevant for this assessment.
C. "How often do you have trouble sleeping?": Trouble sleeping can be a symptom of various sleep disorders, but it is not specific to sleep apnea. The nurse should focus on symptoms like snoring, choking, or stopping breathing during sleep, which are more indicative of sleep apnea.
D. "Do you fall asleep unexpectedly?": Falling asleep unexpectedly may suggest excessive daytime sleepiness, which can be a result of sleep apnea. However, snoring is a more direct and common symptom of sleep apnea that should be prioritized in the initial assessment.
Correct Answer is D
Explanation
A. Speech therapy referral: A speech therapy referral is appropriate for a client with dysphagia following a stroke. Speech therapists can assess the severity of swallowing difficulties and provide strategies to improve swallowing function. This is standard care.
B. Dietitian consult: A dietitian consult is essential to ensure proper nutritional intake and modify the client's diet for safe swallowing. A dietitian can help adjust the texture of foods and recommend alternatives to reduce the risk of aspiration.
C. Oral suction at the bedside: Oral suctioning is a precautionary measure for clients with dysphagia to clear any potential obstructions from the airway. It’s essential to have suction equipment available at the bedside in case of choking or aspiration.
D. Clear liquids: Clear liquids are not recommended for clients with dysphagia because they pose a higher risk for aspiration. Clear liquids can be difficult for individuals with swallowing difficulties to control and may lead to choking or aspiration pneumonia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.