A nurse is teaching a newly licensed nurse about advance directives for clients who have schizophrenia. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"Clients will need their provider’s approval before signing advance directives."
"Clients should contact the court if they wish to change their living will."
"Clients can appoint a health care surrogate for when they are unable to make decisions."
"Clients must designate a guardian to initiate their advance directives."
The Correct Answer is C
Choice A reason: Clients do not need provider approval to sign advance directives. Advance directives are legal documents that reflect the client’s autonomy and do not require medical authorization.
Choice B reason: Clients do not need to contact the court to change a living will. They can revise or revoke their advance directives at any time as long as they are competent to make decisions.
Choice C reason: Appointing a health care surrogate is correct. This allows clients to designate someone to make medical decisions on their behalf if they become unable to do so, ensuring their wishes are respected even during periods of impaired judgment.
Choice D reason: Clients are not required to designate a guardian to initiate advance directives. Guardianship is a legal process separate from advance directives and is not necessary unless the client has been deemed legally incompetent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Ocular strabismus (crossed eyes) is not expected at 24 months. By this age, ocular alignment should be normal. Persistent strabismus beyond 6 months of age requires evaluation for possible vision problems.
Choice B reason: Slightly bowed legs are expected in toddlers due to normal physiologic development. This finding is common as children transition from crawling to walking and usually resolves by age 3 to 4 years. It is considered a normal variation at 24 months.
Choice C reason: Toddlers at 24 months should demonstrate an abdominal breathing pattern, not thoracic. Thoracic breathing is more characteristic of older children and adults. Therefore, this finding would not be expected.
Choice D reason: The anterior fontanelle typically closes between 12 and 18 months. At 24 months, it should already be closed. An anterior fontanelle less than 1 cm at this age would be abnormal and suggest delayed closure.
Correct Answer is A
Explanation
Choice A reason: Changing clothes after working in the field is an evidence-based practice to reduce pesticide exposure. Pesticide residues can cling to clothing and cause prolonged skin contact or contaminate the home environment. This makes option A the correct answer.
Choice B reason: Applying petroleum jelly to the nostrils does not prevent pesticide inhalation. Proper protective equipment such as masks or respirators is required to reduce inhalation risk. This option is incorrect.
Choice C reason: Wiping fruits and vegetables with a dry cloth is insufficient to remove pesticide residues. Washing thoroughly with water is necessary to reduce ingestion risk. This option is incorrect.
Choice D reason: Storing protective equipment in a vehicle exposes it to heat and contamination, reducing its effectiveness. Equipment should be stored in a clean, dry, and safe environment. This option is incorrect.
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