A nurse on a medical-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."
The Correct Answer is B
A. It's not mandatory for a health care proxy to be a member of the client's family; the most important aspect is appointing someone the client trusts to make decisions on their behalf.
B. A health care proxy is someone designated by the client to make medical decisions when the client is unable to do so, based on the client's preferences and wishes.
C. While it's advisable to have an advance directive in place before procedures or when facing serious illnesses, the timing of appointing a health care proxy should not be confined to only these situations.
D. It is not necessary for an attorney to approve the appointment of a health care proxy; the client can designate someone they trust without legal counsel's approval.
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Related Questions
Correct Answer is D
Explanation
A. Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
Correct Answer is B
Explanation
A. Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B. Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C. Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D. Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.
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