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 order at any time.
The client can verbally choose a healthcare 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
When educating a client about end-of-life directives, it is important for the nurse to provide accurate information to ensure the client's wishes are respected.
A living will is a legal document that outlines a person's wishes for medical treatment in the event they are unable to communicate their desires themselves. It is not a contract between the client and the provider, but rather a tool to guide medical decision-making.
A do-not-resuscitate order can be revoked by the client or their legal representative, but not by the client's family alone. In most states, the designation of a healthcare proxy must be done in writing and signed by the client.
It is not necessary for two nurses to witness the designation, although the client may choose to have witnesses present. Finally, the client can choose anyone they trust to be their designated power of attorney, regardless of whether they are a family member or not.
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Related Questions
Correct Answer is A
Explanation
Pain expression is highly influenced by cultural background, and it is important for healthcare providers to understand how different cultures may express pain differently.
In Middle Eastern cultures, it is considered a sign of strength and stoicism to suppress pain and not show any outward signs of discomfort.
In contrast, Chinese culture views pain endurance as a virtue and a way to avoid bringing shame or dishonor to one's family.
Puerto Rican culture may view open expressions of pain as shameful, while Native American culture often views being outspoken about pain as a way of expressing oneself and communicating their needs to healthcare providers.
Correct Answer is B
Explanation
During the initial home visit, the nurse should establish rapport and build a trusting relationship with the client and his family.
Engaging the family in informal conversation allows the nurse to learn about the family's dynamics, routines, and preferences, as well as the client's interests and abilities. This information can be helpful in developing a care plan that is tailored to the client's and family's needs and goals.
While educating the family about dementia and providing information about resources such as respite care and support groups is important, these actions should come after the nurse has established a rapport with the family and gained their trust.
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