A nurse is disinfecting the room of a client who has a Clostridium difficultiesinfection. Which of the following solutions should the nurse use?

The correct answer is choice D. A living will can specify which medical procedures a person wants or does not want to receive in certain situations, such as when they are terminally ill or permanently unconscious.

A living will is a type of advance directive, which is a legal document that provides instructions for medical care if a person is unable to make decisions for themselves.

Choice A is wrong because a person does not need to have advance directives in order to refuse recommended treatment.

They have the right to accept or decline any medical intervention at any time, as long as they are competent and able to communicate their wishes.

Choice B is wrong because a person does not need an attorney to name a designee in their health care proxy.

A health care proxy is another type of advance directive that appoints a person to make health care decisions for someone else if they are unable to do so.

A health care proxy can be completed without involving a lawyer, as long as it meets the state’s requirements for a valid document.

Choice C is wrong because a living will cannot be an oral statement that a person agrees upon with their provider.

A living will must be in writing and follow the state’s laws for creating legal documents.

Depending on the state, a living will may need to be signed by a witness or notarized.

The correct answer is choice C, D, and E.

Choice A rationale:A client being unable to afford physical therapy is a financial issue, not an incident that affects patient safety or care quality. This situation should be addressed through social services or financial counseling, not an incident report.

Choice B rationale:A client being dissatisfied with meal temperature is a service quality issue, not a safety incident. This should be reported to the dietary department or patient services for resolution, not through an incident report.

Choice C rationale:A client’s visitor becoming dizzy and fainting in the client’s room is an incident that affects the safety of the visitor. An incident report should be completed to document the event, the visitor’s condition, and any actions taken to provide care or prevent future occurrences.

Choice D rationale:A client receiving burns from a heating pad is a safety incident that directly affects the client’s well-being. An incident report should be completed to document the injury, the circumstances leading to the burn, and any immediate care provided.

Choice E rationale:A client becoming disoriented and falling out of bed is a significant safety incident. An incident report should be completed to document the fall, the client’s condition, and any interventions implemented to prevent future falls.