A nurse is reinforcing teaching with a client about advance directives and a health care proxy.
Which of the following client statements indicates an understanding of the teaching?
Once my health care proxy is in place, I relinquish my right to make my own decisions.
If I have a health care proxy, then I do not need to have a living will.
My health care proxy designee is not able to sign a consent form on my behalf.
I do not need to name a relative as my designee in my health care proxy.
The Correct Answer is C
Explanation
C. My health care proxy, then I do not need to have a living will,
A health care proxy designee does not have the authority to sign a consent form on the individual's behalf. Consent for medical procedures or treatments should be obtained directly from the individual if they are capable of providing consent. If the individual is incapable, the health care proxy can make decisions based on the individual's previously expressed wishes or in their best interest.
a. Statement A is incorrect. Having a health care proxy does not mean that the individual relinquishes their right to make their own decisions. A health care proxy is designated to make decisions on behalf of the individual when they are unable to do so, but the individual retains the right to make decisions if they are capable.
b. Statement B is incorrect. Having a health care proxy does not eliminate the need for a living will. A living will outline the individual's specific wishes regarding medical treatments and end-of-life care, while a health care proxy designates a person to make decisions on their behalf. Both documents serve different purposes and can work together to ensure the individual's wishes are respected.
D. Statement D is not necessarily correct or incorrect. The individual has the choice to name any person as their health care proxy designee, regardless of their relationship. It is important to choose someone who understands the individual's wishes and can make decisions in their best interest. The decision of whom to name as the health care proxy designee is personal and should be based on trust and understanding.
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Related Questions
Correct Answer is B
Explanation
Speaking to the client at an increased volume in (option C) is not an effective solution for a language barrier. Simply speaking louder will not address the issue of language comprehension. It is important to use appropriate communication strategies, such as seeking a qualified interpreter or using visual aids or gestures to facilitate understanding.
B. Ask a family member of the client to interpret
Using a family member as an interpreter can lead to miscommunication, lack of confidentiality, and potential biases. A professional interpreter should be used to ensure accurate communication. However, in the absence of a professional interpreter, having a family member interpret can help create an understanding between the nurse and the client.
Rest in (option A) is not an appropriate action in this situation. The nurse should actively seek a way to communicate effectively with the client to ensure safe and appropriate care.
Assuming that the client nodding indicates an understanding of the information in (option D) is not reliable. Nodding can have different cultural interpretations and may not always indicate comprehension. It is important to use other means of communication to confirm understanding, such as using a professional interpreter or utilizing visual aids.
Correct Answer is C
Explanation
explanation:
Adult day care facilities provide a safe and supervised environment for older adults during the day, while their family members or caregivers are at work or unable to be present. These facilities offer various activities, social interactions, and personal care services to support the needs of individuals with dementia and other conditions. Attending an adult day care facility canalso give the client an opportunity to engage with others and maintain cognitive and physical stimulation.
A- Hospice care is generally recommended for individuals with terminal illnesses who are nearing the end of life. It focuses on providing comfort and support to the patient and family during the end-of-life journey.
B- Long-term care facilities may be appropriate for some individuals with advanced dementia who require round-the-clock care and supervision. However, in this scenario, the client's adult child is present and working full time, suggesting that the family intends to provide care at home as much as possible.
D- Community senior centers may offer various activities and programs for older adults, but they may not provide the level of supervision and care required for an individual with early onset dementia during the day, especially if their family member is at work.
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