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 you 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 healthcare proxy
The Correct Answer is B
a. "You must choose a member of your family to serve as your health care proxy":
This response is not accurate. While family members are often chosen as healthcare proxies, the client is not required to select a family member. The most important consideration is choosing someone who understands the client's healthcare wishes and is willing and able to advocate for them. The nurse should emphasize the importance of selecting a trusted individual, whether they are a family member or not.
b. "A health care proxy can make decisions for you when you are unable to do so":
This response is accurate. A healthcare proxy is a legal document that allows an individual to appoint someone else to make healthcare decisions on their behalf if they become unable to do so due to illness or incapacity. The nurse should explain the role of a healthcare proxy in advocating for the client's wishes and ensuring that their healthcare preferences are honored.
c. "You should appoint a health care proxy before undergoing an invasive procedure":
While it is advisable for clients to have advance directives, including a healthcare proxy, in place before undergoing any medical procedure, this response does not fully address the client's question. The timing of appointing a healthcare proxy should not be limited to specific medical procedures but should be based on the client's readiness to make such decisions and their recognition of the importance of having a designated advocate for their healthcare needs.
d. "It is necessary for an attorney to approve your health care proxy":
This response is not accurate. While it may be helpful to seek legal advice when creating advance directives, including a healthcare proxy, it is not a requirement for an attorney to approve the document. The client can typically complete a healthcare proxy form themselves, following the legal requirements of their jurisdiction. However, consulting with an attorney can provide additional guidance and ensure that the document is properly executed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Limited social support:
Limited social support can impact the client's ability to manage their recovery and may increase the risk of complications or readmission. However, it may not be the most immediate concern if other issues pose a more significant risk to the client's health and recovery.
b. Decreased self-esteem:
Decreased self-esteem can affect the client's emotional well-being and may impact their motivation to engage in self-care activities. While important to address, it may not have an immediate impact on the client's physical recovery following CABG surgery.
c. Inadequate food supply:
Inadequate food supply can hinder the client's ability to meet their nutritional needs, which are essential for wound healing and overall recovery after surgery. This issue could potentially impact the client's physical recovery and should be addressed promptly.
d. Low pain tolerance:
Low pain tolerance can affect the client's ability to manage postoperative pain and may hinder their participation in activities necessary for recovery, such as mobility and respiratory exercises. Addressing pain management is crucial for promoting the client's comfort and facilitating recovery.
Correct Answer is C
Explanation
a. Assault:
Assault involves the threat of bodily harm or unwanted physical contact that creates fear or apprehension in the victim. In this scenario, there is no indication of a threat being made against the client; instead, the nurse administers the medication without their consent.
b. Libel:
Libel refers to a false written statement that damages a person's reputation. This option is not applicable to the scenario described, as it does not involve written communication or defamation of character.
c. Battery:
Battery occurs when there is unauthorized physical contact with another person that results in harm or offense. In this scenario, the nurse administers the injection against the client's will, which constitutes unauthorized physical contact, making it an example of battery.
d. False imprisonment:
False imprisonment involves unlawfully restraining or confining a person against their will. While administering medication without consent could potentially be perceived as a form of restraint, false imprisonment typically involves physical confinement or restriction of movement, which is not the case in this scenario.
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