A nurse is considering the use of restraints. The nurse should:

Choice A rationale
A healthcare proxy is a legal document that allows an individual to appoint someone to make medical decisions on their behalf if they are unable to do so themselves. This ensures that the individual’s healthcare preferences are followed even when they cannot communicate them. The proxy works closely with the healthcare team to ensure the patient’s wishes are respected.
Choice B rationale
Dictating funeral arrangements is not the primary purpose of a healthcare proxy. Funeral arrangements are typically handled through a will or other legal documents, not through a healthcare proxy.
Choice C rationale
Appointing a guardian for minor children is not the role of a healthcare proxy. This responsibility is usually designated through a will or other legal documents.
Choice D rationale
Managing the individual’s financial affairs is not the purpose of a healthcare proxy. Financial decisions are typically handled through a durable power of attorney for finances, not through a healthcare proxy.

Choice A rationale
“I can see this is very difficult for you.”. This response is appropriate as it acknowledges the client’s emotions and provides validation. It demonstrates empathy and encourages the client to express their feelings, which is essential in therapeutic communication.
Choice B rationale
“Please don’t cry, it’s not good for you.”. This response is inappropriate as it dismisses the client’s emotions and may make them feel invalidated. Crying is a natural response to emotional distress, and the nurse should support the client in expressing their feelings.
Choice C rationale
“Why are you crying?” This response is also inappropriate as it may come across as judgmental or dismissive. It does not provide the support and empathy the client needs during a difficult moment.
Choice D rationale
“Let’s move on to a different topic to distract you.”. This response is not appropriate as it avoids addressing the client’s emotions and may make the client feel that their feelings are not important. The nurse should focus on supporting the client through their emotional experience.