A nurse is providing information to a client about advance directives. The nurse should explain that advance directives include which of the following?

Information regarding organ donation

Instructions regarding treatments the client desires or does not desire

Information regarding the disposition of the client's body upon death

A form with directions for contacting next of kin

Answer and Explanation

The Correct Answer is B

Choice A reason: Information regarding organ donation is not part of advance directives, but rather a separate document that the client can sign to indicate their willingness to donate their organs or tissues after death. The nurse should inform the client about the option and process of organ donation, but not include it in the advance directives.

Choice B reason: Instructions regarding treatments the client desires or does not desire is part of advance directives, as it allows the client to express their preferences and values regarding their health care in case they become unable to make decisions for themselves. The nurse should help the client understand the benefits and risks of different treatments and document their choices in the advance directives.

Choice C reason: Information regarding the disposition of the client's body upon death is not part of advance directives, but rather a personal or legal matter that the client can arrange with their family or attorney. The nurse should respect the client's wishes regarding their body after death, but not include it in the advance directives.

Choice D reason: A form with directions for contacting next of kin is not part of advance directives, but rather a routine document that the client can fill out when they are admitted to the facility. The nurse should obtain the client's contact information and emergency contacts, but not include it in the advance directives.

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Correct Answer is D

Explanation

Choice A reason: A living will does not provide protection against malpractice. It is a legal document that expresses the client's wishes regarding medical care in the event of a terminal illness or injury.

Choice B reason: A living will does not designate a health care surrogate to make health care decisions. A health care surrogate is a person who is authorized by the client or the court to make health care decisions for the client when the client is unable to do so.

Choice C reason: A living will does not document that the client gave informed consent. Informed consent is the process of obtaining the client's voluntary agreement to a proposed treatment or procedure after providing adequate information about the benefits, risks, and alternatives.

Choice D reason: A living will allows the client to refuse life-sustaining treatments. This is the main purpose of a living will, as it gives the client the right to self-determination and autonomy over their own body and health.

A. "You should not have signed the consent form if you have reservations about the surgery." B. "Let me provide you with resources you can read about the surgery." C. "If you have any concerns about the procedure, the surgery can be cancelled." D. "I will contact the provider and request medication to help you relax."

Correct Answer is C

Explanation

Choice A reason: This is not the correct choice because this response is insensitive and unprofessional. The nurse should not blame or criticize the client for signing the consent form, as this may make the client feel guilty or pressured. The nurse should respect the client's autonomy and right to change their mind.

Choice B reason: This is not the correct choice because this response is inadequate and irrelevant. The nurse should not assume that the client needs more information about the surgery, as this may not address the client's underlying reasons for being unsure. The nurse should listen to the client's concerns and provide emotional support.

Choice C reason: This is the correct choice because this response is respectful and reassuring. The nurse should acknowledge the client's feelings and let them know that they have the option to cancel the surgery if they are not comfortable with it. The nurse should also inform the provider and the surgical team about the client's situation and facilitate further discussion if needed.

Choice D reason: This is not the correct choice because this response is inappropriate and unethical. The nurse should not offer medication to the client to help them relax, as this may impair their decision-making capacity and consent. The nurse should not coerce or manipulate the client to undergo the surgery.

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A nurse is providing information to a client about advance directives. The nurse should explain that advance directives include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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