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. Social worker : Social workers help with community resources, housing, and legal issues, but do not directly train work-related skills.
B. Psychiatrist: A psychiatrist focuses on diagnosing and treating mental illness, not work-related skills training.
C. Occupational therapist: Occupational therapists help clients develop skills needed for daily life and work, making them the best choice for work-related skill training.
D. Psychologist: Psychologists focus on therapy and mental health assessments, not practical skill development.
Correct Answer is A
Explanation
A. "Competency and capacity are often discussed as being the same thing, but they are different." Competency is a legal determination made by a court, while capacity is a clinical assessment made by healthcare providers. Although they are related, they are distinct concepts.
B. "Capacity and competency are the same thing and can be used interchangeably." This is incorrect because capacity refers to a person's ability to make a decision at a specific moment, while competency is a broader legal determination regarding decision-making ability.
C. "A client who has been deemed legally incompetent can provide informed consent for treatment." A legally incompetent client cannot provide informed consent. Instead, a legally designated surrogate (guardian or power of attorney) makes medical decisions on their behalf.
D. "Competency and capacity are rarely a concern when caring for clients who have a mental illness." Mental illness can impact decision-making capacity, making assessments crucial. Competency and capacity evaluations are common in mental health settings, especially for clients with cognitive impairment or psychosis.
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