A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
A client must create a do-not-resuscitate order when completing advance directives.
Advance directives cannot be changed once implemented.
Assigning a health care surrogate requires legal consultation.
A health care surrogate makes health care decisions when the client is no longer able.
The Correct Answer is D
Rationale:
A. A client must create a do-not-resuscitate order when completing advance directives: A DNR is a separate medical order and is not required when completing advance directives. Clients may choose to include resuscitation preferences in their directive but are not obligated to.
B. Advance directives cannot be changed once implemented: Advance directives are flexible documents that can be revised or revoked by the client at any time, as long as the client is mentally competent. This allows clients to adjust their wishes as circumstances or preferences change.
C. Assigning a health care surrogate requires legal consultation: While laws vary by state, in most cases, a legal consultation is not required. Clients can designate a surrogate by completing a form that is often available at healthcare facilities or through state-provided templates.
D. A health care surrogate makes health care decisions when the client is no longer able: A surrogate, also known as a durable power of attorney for health care, steps in only when the client loses decision-making capacity. This ensures that the client’s preferences are respected when they cannot communicate them.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "You should avoid vaginal spermicides while breastfeeding.": Vaginal spermicides are generally considered safe during breastfeeding. They do not contain hormones and do not affect milk production, so avoidance is not typically necessary unless the client has specific contraindications.
B. "The lactation amenorrhea method is effective for your first year postpartum.": This method is only effective during the first 6 months postpartum, provided the mother is exclusively breastfeeding and menstruation has not resumed. Beyond that period, the risk of ovulation increases and it becomes unreliable.
C. "Place the transdermal birth control patch on your upper outer arm.": The patch can be applied to several sites, including the upper outer arm, abdomen, buttock, or upper torso. This is an appropriate instruction and part of standard patient teaching for transdermal contraceptive use.
D. "You can continue to use the diaphragm you used before your pregnancy.": The diaphragm often requires refitting postpartum due to changes in vaginal tone and cervix position. Using the same diaphragm without evaluation could reduce effectiveness and increase risk of unintended pregnancy.
Correct Answer is B
Explanation
Rationale:
A. Administer a dose of atomoxetine to decrease anxiety: Atomoxetine is a non-stimulant medication used primarily for ADHD, not for acute anxiety or panic attacks. It is not effective for treating panic symptoms and is not appropriate in this situation.
B. Sit with the client to provide a sense of security: Remaining with the client during a panic attack helps reduce fear, provides emotional support, and ensures safety. Calm presence and reassurance are essential to help the client regain a sense of control.
C. Encourage the client to watch television: Watching television requires attention and focus, which may be impaired during a panic attack. This suggestion does not address the immediate need for safety, calm, and emotional support.
D. Teach the client how to meditate: Teaching new coping techniques during a panic attack may be ineffective, as the client is overwhelmed and unable to concentrate. Such strategies are better introduced when the client is calm and receptive.
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