A nurse is providing teaching to a client about advance directives. Which of the following client statements indicates to the nurse an understanding of the teaching?

"My health care surrogate should be my oldest living child."

"I can alter my advance directives later if I change my mind about treatment."

"My living will determine who speaks for me when I am unable to do so."

"Once my advance directives are signed, I no longer make my own decisions."

Answer and Explanation

The Correct Answer is B

Rationale:
A. A health care surrogate (or durable power of attorney for health care) does not have to be the oldest child; the client chooses the person they trust most to make decisions.
B. Advance directives are flexible and can be altered or revoked by the client at any time, as long as the client is competent.
C. A living will outlines the client’s treatment preferences, but it does not designate who will speak for the client. That role belongs to a health care proxy/surrogate.
D. Signing advance directives does not remove the client’s right to make decisions. The client retains autonomy as long as they are capable of decision-making.

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Correct Answer is D

Explanation

Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.

A. Failing to put upside rails on the bed of a client who is confused B. Inserting a feeding tube against the wishes of a client who refuses to eat C. Telling a client they have to receive an injection if they will not take oral medication D. Threatening to apply wrist restraints to control a client who is agitated

Correct Answer is B

Explanation

Rationale:
A. Failing to put bed rails in place that results in a fall is considered negligence, not battery.
B. Battery is the intentional and unauthorized physical contact with a client. Inserting a feeding tube against a client’s expressed refusal meets this definition, making it the correct example.
C. Telling a client they must receive an injection is coercion or threat, which may be assault, not battery, unless physical contact occurs.
D. Threatening to apply restraints is assault, as no actual contact has yet occurred.

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A nurse is providing teaching to a client about advance directives. Which of the following client statements indicates to the nurse an understanding of the teaching?

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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