A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?
The living will is a legally binding contract between the client and the provider.
The client's family has the authority to revoke the do-not-resuscitate (DNR) order at any time.
The client can verbally choose a health care proxy if two nurses witness the designation.
The client can choose a non-family member as the designated power of attorney.
The Correct Answer is D
Choice A reason: A living will is not a contract but a legal document that outlines a person's wishes regarding medical
treatment if they become unable to communicate their decisions.
Choice B reason: The client's family does not have the authority to revoke a DNR order unless they are the designated health care proxy or have legal authority to make decisions for the client.
Choice C reason: While verbal designations are possible, it is always best to have such designations documented in writing to ensure clarity and legal standing.
Choice D reason: A client has the right to choose anyone they trust, including a non-family member, to serve as their power of attorney for health care decisions.
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Correct Answer is D
Explanation
Choice A reason: Creating a protocol to isolate contagious students is a reactive measure, typically part of secondary prevention, to prevent the spread of disease once it has occurred.
Choice B reason: Reporting communicable diseases to the students' providers is also a secondary prevention strategy, as it involves actions taken after an infection has been identified.
Choice C reason: Conducting physical assessments of the students can help in early detection of diseases, which aligns with secondary prevention rather than primary prevention.
Choice D reason: Teaching students about responsible sexual behavior is a primary prevention strategy. It aims to prevent the transmission of sexually transmitted infections (STIs) by providing education before exposure or infection occurs.
Correct Answer is B
Explanation
Choice A reason: Hospice services do not necessarily end when the client dies. Bereavement support and counseling are often provided to the family after the client's death.
Choice B reason: Hospice care indeed encourages family participation in the client's care. It focuses on comfort and quality of life and includes emotional and spiritual support for both the patient and their loved ones.
Choice C reason: Hospice care typically does not provide life-extending interventions. The focus is on palliative care,
which aims to relieve symptoms and improve quality of life rather than extending it.
Choice D reason: Hospice programs are generally designed for clients who are expected to have 6 months or fewer to live, not 9 months. This is based on the patient's physician's and hospice medical director's clinical judgment.

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