A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?

"Advance directives are the same as a consent form for health care treatment."

"Advance directives protect your right to make your own health care decisions."

"Advance directives must be approved by your lawyer."

"Advance directives are for clients who have life-threatening conditions."

Answer and Explanation

The Correct Answer is B

Choice A reason: Advance directives outline future care wishes, unlike consent for immediate treatment. This conflates distinct legal documents, misinforming the client.

Choice B reason: Advance directives ensure autonomy, letting clients dictate care preferences pre-surgery. This accurately conveys their purpose in healthcare decision-making.

Choice C reason: Lawyer approval isn’t required; forms are legally valid with witnesses. This overstates complexity, deterring clients from creating directives.

Choice D reason: Directives apply to all, not just life-threatening cases. They’re proactive for any surgery, so this limits their broad applicability.

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Correct Answer is D

Explanation

Choice A reason: Staying in bed awake reinforces insomnia by associating bed with wakefulness. Sleep hygiene advises leaving bed if sleep doesn’t come soon.

Choice B reason: Low TV volume still stimulates the brain, delaying sleep onset. Screen light disrupts melatonin, worsening insomnia rather than aiding rest.

Choice C reason: Longer weekend sleep disrupts circadian rhythm, confusing sleep cycles. Consistent sleep timing is key, so this hinders nightly sleep improvement.

Choice D reason: Daily exercise boosts sleep quality by reducing stress and regulating circadian rhythm. It’s a proven insomnia remedy, promoting faster sleep onset naturally.

A. Monitor the client for 1 hr after meals. B. Weigh the client every 2 days. C. Check the client's vital signs two times per week. D. Allow the client 2 hr to finish meals.

Correct Answer is A

Explanation

Choice A reason: Monitoring post-meals prevents purging, a common anorexia behavior. One hour ensures food retention, supporting nutritional recovery and countering compensatory actions effectively.

Choice B reason: Weighing every 2 days tracks trends, but daily is standard in anorexia to monitor refeeding risks like edema or cardiac strain more closely.

Choice C reason: Vital signs twice weekly miss acute changes in anorexia, like bradycardia from malnutrition. Daily checks are needed for safety during early treatment.

Choice D reason: Two hours per meal allows purging opportunities in anorexia. Shorter, supervised times prevent this, ensuring intake for nutritional rehabilitation success.

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A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?

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