A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
"You will need an attorney to appoint a health care surrogate."
"Your health care surrogate will make decisions on your behalf if you are unable."
"You should appoint a family member as your health care surrogate."
"Once you have completed a living will, it cannot be changed."
The Correct Answer is B
- "Your health care surrogate will make decisions on your behalf if you are unable": This statement is correct. A health care surrogate, also known as a health care proxy or durable power of attorney for health care, is an individual designated by the client to make medical decisions on their behalf if they become unable to make decisions for themselves. It is important for the client to choose someone they trust and who understands their values and wishes.
- "You will need an attorney to appoint a health care surrogate": This statement is not necessarily true. While involving an attorney can be helpful, it is not always required to appoint a health care surrogate. In many jurisdictions, a legally valid health care surrogate designation can be made through a simple document or form provided by the hospital or a local government office. It is important to check the specific legal requirements in the client's jurisdiction.
- "You should appoint a family member as your health care surrogate": This statement is a subjective recommendation and may not be applicable to all individuals. The decision of whom to appoint as a health care surrogate should be based on the client's personal preferences and the individual's ability to make informed decisions according to the client's wishes. While a family member is often chosen, it is not a requirement, and the client may choose a close friend, partner, or anyone else they trust to fulfill this role.
- "Once you have completed a living will, it cannot be changed": This statement is incorrect. A living will, which is a type of advanced directive, can be changed or revoked at any time by the client as long as they are competent to do so. It is important for the client to review and update their living will periodically to ensure that it reflects their current wishes regarding medical care and treatment.
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Related Questions
Correct Answer is A
Explanation
Explanation
A. Fidelity involves keeping promises made to clients
Fidelity is an ethical principle that pertains to the nurse's duty to be faithful, loyal, and keep promises made to clients. It involves acting in a trustworthy and reliable manner, maintaining commitments, and upholding the client's rights and autonomy.
Option B is incorrect because it refers to autonomy, which is another ethical principle that involves respecting the client's right to make their own health care decisions.
Option C is incorrect because it refers to nonmaleficence, which is the principle of ensuring that we do no harm to the client and avoiding actions that may cause harm or have a negative impact on the client's well-being.
Option D is incorrect because it refers to justice, which involves treating every client with fairness, equality, and respect, but it does not specifically address the concept of fidelity.
Correct Answer is C
Explanation
Explanation:
The Pavlik harness is a device used to treat developmental dysplasia of the hip (DDH) in infants. It helps position the hips in a way that promotes proper hip joint development. By keeping the hips in a flexed and abducted position, the harness helps to align the hip joint properly, allowing for normal development.
A- Applying lotion under the straps of the harness is not recommended as it can interfere with the harness's effectiveness and may cause skin irritation.
B- The harness should not be removed for sleeping unless specifically instructed by the healthcare provider. It is typically worn continuously to ensure consistent hip positioning and optimal treatment outcomes.
D- Placing the diaper over the strap of the harness is not recommended as it can cause discomfort for the infant and may interfere with the proper fit and function of the harness. The diaper should be placed under the harness straps to ensure a secure and comfortable fit.
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