A nurse is reinforcing information with a client who wishes to complete their advance directives.
Which of the following statements should the nurse make?
“You must have advance directives in place in order to refuse recommended treatment.”.
“An attorney is needed in order for you to name a designee in your health care proxy.”.
“A living will can be an oral statement that you agree upon with your provider.”.
“You can decline to have certain medical procedures performed in your living will.”.
The Correct Answer is D
The correct answer is choice D. A living will can specify which medical procedures a person wants or does not want to receive in certain situations, such as when they are terminally ill or permanently unconscious.
A living will is a type of advance directive, which is a legal document that provides instructions for medical care if a person is unable to make decisions for themselves.
Choice A is wrong because a person does not need to have advance directives in order to refuse recommended treatment.
They have the right to accept or decline any medical intervention at any time, as long as they are competent and able to communicate their wishes.
Choice B is wrong because a person does not need an attorney to name a designee in their health care proxy.
A health care proxy is another type of advance directive that appoints a person to make health care decisions for someone else if they are unable to do so.
A health care proxy can be completed without involving a lawyer, as long as it meets the state’s requirements for a valid document.
Choice C is wrong because a living will cannot be an oral statement that a person agrees upon with their provider.
A living will must be in writing and follow the state’s laws for creating legal documents.
Depending on the state, a living will may need to be signed by a witness or notarized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Palliative care is a type of care that improves the quality of life of patients and their families who are facing problems associated with life-threatening illness.
It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.
Palliative care also provides emotional support to the patients and their families during the illness.
Therefore, choice B indicates an understanding of the teaching.
Choice A is wrong because it contradicts the goal of palliative care to address the spiritual needs of the patients and their families.
Spiritual advisors can help patients cope with their illness and find meaning and purpose in their situation.
Choice C is wrong because it denies the patient the opportunity to express their feelings and concerns about their illness.
Palliative care involves open and honest communication between the patients, their families and the health care team.
Discussing the illness can help patients make informed decisions about their care and prepare for the end of life.
Choice D is wrong because it goes against the principle of palliative care to respect the patient’s wishes and preferences regarding their treatment.
Resuscitation is a procedure that attempts to revive someone from apparent death or unconsciousness.
Some patients may not want resuscitation if they have a terminal illness or a poor quality of life.
They may have an advance directive or a living will that states their preferences for end-of-life care.
Correct Answer is A
Explanation
Aspiration is when food or liquid enters the airway and causes choking or infection. Speech therapists can teach clients exercises to strengthen the muscles involved in swallowing, as well as strategies to prevent aspiration, such as changing the position of the head or the texture of the food.
Choice B is wrong because respiratory therapists help clients with breathing problems, not swallowing problems.
They may provide oxygen therapy, chest physiotherapy, or mechanical ventilation.
Choice C is wrong because physical therapists help clients with mobility problems, not swallowing problems.
They may provide exercises, massage, or assistive devices to improve movement and function.
Choice D is wrong because occupational therapists help clients with daily living activities, not swallowing problems.
They may provide training, adaptive equipment, or environmental modifications to enhance independence and quality of life.
Dysphagia is a medical term for swallowing difficulties.
It can be caused by various conditions that affect the nerves or muscles involved in swallowing, such as stroke, head injury, Parkinson’s disease, or esophageal cancer.
Dysphagia can lead to complications such as malnutrition, dehydration, or aspiration pneumonia.
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