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A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

"PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so."

"PAD is not a legally binding document, like a living will."

"PAD is used by the majority of clients who have a mental illness."

"PAD can include preferences for treatment, such as medications and preferred providers."

Answer and Explanation

The Correct Answer is D

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.

B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.

C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.

D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.

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Correct Answer is B

Explanation

A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.

B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.

C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).

D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.

A. The right to refuse care B. The right to self-determination and making decisions about their own healthcare C. The right to receive care without any input or involvement in decision-making D. The right to make decisions on behalf of the healthcare provider

Correct Answer is B

Explanation

A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.

B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.

C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.

D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.

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A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

What is the definition of patient autonomy?

Correct Answer is B

Explanation

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