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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. Asking the client's son to go to the waiting area allows the nurse to have a private conversation with the client, which is crucial in suspected cases of elder abuse to gather information without potential interference or intimidation.
B. Asking about injuries with the son present might hinder the client from disclosing information due to fear or pressure.
C. Treating and discharging the client without addressing the suspected elder abuse could potentially put the client in further danger.
D. Filing an incident report might be necessary but should follow an assessment and investigation of the situation.

A. "You'll be fine. You'll receive a prescription for pain medication." B. "Why didn't you discuss your concerns with your provider?" C. "If you have the procedure now, you won't have to deal with pain and disability later." D. "I understand, and it's not too late to change your mind,"

Correct Answer is D

Explanation

A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.

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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?

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