A nurse is teaching a client about advance health care directives. Which of the following statements by the client indicates an understanding of the teaching?
"This document will ensure that my health care wishes remain confidential."
"This document will tell others what care I want when I cannot speak for myself."
"My attorney has to prepare this document for me."
"My family can change the document if I become mentally incapacitated."
The Correct Answer is B
A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.
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Related Questions
Correct Answer is D
Explanation
A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.
Correct Answer is C
Explanation
A. Shut all the doors on the unit. Shutting doors helps to contain the fire and prevent its spread, but it is not the immediate priority.
B. Initiate the facility's fire alarm. Initiating the fire alarm is crucial for alerting others and ensuring the safety of everyone in the facility. However, immediate action should focus on client safety.
C. Evacuate the client's room. Evacuating the client's room is the priority for ensuring the client's safety in the event of a fire. This action should be taken before attempting to address the fire or other tasks.
D. Extinguish the fire. While extinguishing the fire is important, the immediate priority should be the safety of individuals in the room. Extinguishing the fire can be attempted if safe to do so, but evacuation comes first.
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