A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so”

“You should appoint a health care proxy before undergoing an invasive procedure”

“It is necessary for an attorney to approve your health care proxy”

Answer and Explanation

The Correct Answer is B

a.   It is not required to choose a family member as a health care proxy; the client has the right to choose any competent adult.
b.   This is correct because a health care proxy is authorized to make medical decisions on the client's behalf if they are unable to do so themselves.
c.   While it is advisable to have a health care proxy, it is not a requirement before undergoing an invasive procedure.
d.   An attorney is not necessary to approve a health care proxy, although legal advice might be beneficial when drafting advance directives.

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Correct Answer is D

Explanation

a. While contacting the provider may be appropriate for clarification, the health care surrogate has the authority to make medical decisions on behalf of the unconscious client.

b. Involving the facility's ethics committee may be considered if there is disagreement among family members, but ultimately, the decision rests with the health care surrogate.

c. Reviewing advance directives may provide guidance, but the health care surrogate's decision takes precedence in this situation.

d. The health care surrogate has the legal authority to make medical decisions for the client when they are unable to do so themselves.

A. Alert the infection control department B. Discuss the issue with the AP C. Reinforce facility protocols at the next staff meeting D. Notify the unit manager about the incident

Correct Answer is B

Explanation

a. Alerting the infection control department may be necessary, but the first step should be addressing the issue directly with the individual involved.
b. Discussing the issue with the AP allows for immediate feedback and correction of the behavior. It provides an opportunity to clarify the correct protocol and address any misunderstandings or concerns.
c. Reinforcing facility protocols at the next staff meeting is important for general education but may not address the immediate need for correction in this specific instance.
d. Notifying the unit manager about the incident may be appropriate after discussing the issue with the AP, but it should not be the first step in addressing the problem.

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A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

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Correct Answer is D

Explanation

A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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