A physician writes a do not resuscitate (DNR) order for a competent client. Which individual may give permission for this order?
The client's spouse.
The client's only child.
The client.
Any close blood-related relative.
The Correct Answer is C
A) The client's spouse: This choice suggests that the client's spouse has the authority to give permission for a DNR order. In most cases, it is the competent client themselves who has the authority to make decisions about their own medical treatment, including DNR orders. Spouses may have a say and their input is considered, but the ultimate decision typically lies with the competent client.
B) The client's only child: This choice suggests that the client's only child can give permission for a DNR order. Similar to the explanation for choice A, the decision-making authority for a DNR order generally rests with the competent client, not their child. However, a client may choose to discuss their medical decisions with their child and take their wishes into consideration.
C) The client: This choice correctly identifies that the competent client themselves is the one who typically has the legal and ethical authority to make decisions about their medical treatment, including DNR orders. This is based on principles of autonomy and respect for the individual's wishes.
D) Any close blood-related relative: This choice suggests that any close blood-related relative has the authority to give permission for a DNR order. Similar to choices A and B, the decision-making authority is typically with the competent client. While family members' input is valuable and should be considered, they do not have the ultimate decision-making power for the client's medical treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Refuse to give the information over the phone:
This option respects the patient's confidentiality and is the best course of action. Sharing sensitive medical information over the phone without proper verification and consent is not appropriate.
B) Give a noncommittal response that "everything is normal" even though it is untrue:
Providing false information compromises the integrity of the healthcare professional and can lead to serious consequences if discovered. It's essential to be honest and accurate when sharing medical information.
C) Give the results as they are reported on the laboratory sheet because the insurance company is paying for the test anyway:
Sharing medical information without proper consent, especially over the phone, is a violation of patient privacy and confidentiality. Insurance payment does not negate the need for patient consent and confidentiality.
D) Tell the representative that the test results are not back yet:
If the results are not yet available, it is appropriate to inform the insurance representative truthfully. However, if the results are available, the nurse should not provide them without proper authorization.
Correct Answer is C
Explanation
The client's spouse: While the spouse may be a close family member and have significant input into the client's medical decisions, the ultimate authority for decisions like a DNR order rests with the client, assuming they are competent to make their own decisions.
The client's only child: Similar to the spouse, a child can have an emotional and supportive role in the decision-making process, but unless legally designated as the healthcare proxy or power of attorney for healthcare decisions, they do not typically have the legal authority to make decisions for a competent adult.
The client: In the context of medical decision-making, the principle of patient autonomy is fundamental. If the client is competent and capable of making decisions, their wishes and consent are paramount. In the case of a DNR order, it should be discussed thoroughly with the client, ensuring they understand the implications, risks, and benefits before making an informed decision.
Any close blood-related relative: In general, the authority to make medical decisions, including DNR orders, is not automatically granted to any blood-related relative. The client or their legally appointed representative (such as a healthcare proxy) usually holds this authority.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.