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."
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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Related Questions
Correct Answer is C
Explanation
A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.
B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.
C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.
D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.
Correct Answer is D
Explanation
A. Being trustworthy in following through with promises: This describes fidelity, which is the nurse’s duty to keep commitments and maintain trust.
B. Taking actions to promote access to mental health services: This relates to justice, which is about ensuring fairness and equal access to healthcare.
C. Providing ethically sound practice for clients and families: This falls under nonmaleficence and beneficence, ensuring ethical care and minimizing harm.
D. Being truthful and authentic with clients: Veracity means providing truthful and accurate information, ensuring clients receive honest and reliable details about their care.
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