A nurse is evaluating a newly licensed nurse's understanding of advance directives. The newly licensed nurse should identify that which of the following individuals is responsible for deciding whether a client is capable of making their own decisions regarding medical treatment?
Primary provider
Charge nurse
Health care surrogate
Social worker
The Correct Answer is A
A. Primary provider: The primary provider is responsible for assessing a client’s capacity to make their own medical decisions. They determine whether the client is able to understand the nature of their condition and the treatment options available.
B. Charge nurse: While the charge nurse plays an important role in overseeing nursing care and ensuring proper communication, the decision about whether a client is capable of making their own medical decisions falls to the primary provider, not the charge nurse.
C. Health care surrogate: A health care surrogate is an individual designated to make medical decisions for a client when they are unable to do so themselves. However, the primary provider is responsible for determining if the client has the capacity to make decisions before a surrogate is involved.
D. Social worker: Social workers provide support and assistance with advance directives and decision-making, but the responsibility for evaluating whether the client can make medical decisions lies with the primary provider, not the social worker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This image shows well-demarcated, erythematous plaques covered with silvery-white scales—classic features of plaque psoriasis. These lesions typically appear on extensor surfaces like the elbows, knees, and scalp, and may itch or crack.
B. This image shows a yellow crusting lesion which suggests impetigo or a secondary skin infection, not psoriasis. Impetigo typically presents with honey-colored crusts, caused by bacterial infection, usually. Psoriasis lesions are usually dry and scaly, not moist or oozing.
C. This image shows red bumps on arm suggesting an allergic reaction, folliculitis, or possibly contact dermatitis. These are small papules often scattered or in clusters, and do not have the thick scaling seen in psoriasis.
D. The fourth image shows linear striae-like marks likely striae distensae (stretch marks), unrelated to psoriasis. Stretch marks are atrophic, linear scars typically due to skin stretching from growth or weight changes. They lack inflammation, plaques, and scale—all key signs of psoriasis.
Correct Answer is B
Explanation
A. "You should follow a low cholesterol diet.": While managing cholesterol is important in diabetes care, the primary focus for type 2 diabetes management is controlling blood sugar levels through a balanced diet. Cholesterol management is secondary.
B. "You should follow a balanced intake of carbohydrates, fats, and proteins.": A balanced intake of carbohydrates, fats, and proteins helps regulate blood glucose levels. Carbohydrate counting and distribution are key in diabetes management, and balancing all macronutrients supports optimal blood sugar control and overall health.
C. "You should follow a diet high in vegetables, fiber, and uncooked fruit.": While high fiber intake is beneficial in diabetes management, focusing on vegetables, fiber, and uncooked fruit may limit the client's nutrient intake. A well-rounded, balanced diet is essential.
D. "You should follow a low sodium diet.": Reducing sodium intake is beneficial for heart health, especially in diabetic clients with hypertension. However, controlling blood glucose through a balanced diet should take precedence as the primary focus in managing type 2 DM.
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