An older adult client who is cognitively intact and has decision-making capacity makes a decision to stop chemotherapy for breast cancer after being told of further spread of the cancer. The client's daughter is upset at her parent's decision an approaches the nurse and states: "I don't agree with the decision to stop treatments, I am my parent's health care proxy, I want to override that decision." What is the best response by the nurse?
"As the health care proxy, you are the one who makes the decisions. Let's call your mones doctor.
"I understand why you are so upset. I don't think she is doing the right thing either. Let us think together how we can change her mind
You will need to go to court and be declared a guardian"
"Health care proxies only come into play when the individual can no longer make their own decisions. Your mother is able to make her own decisions. I suggest you talk with her."
The Correct Answer is D
A. "As the health care proxy, you are the one who makes the decisions. Let's call your mom's doctor."
Explanation: This response inaccurately suggests that the health care proxy has the authority to make decisions even when the client has decision-making capacity. The focus should be on the client's autonomy.
B. "I understand why you are so upset. I don't think she is doing the right thing either. Let us think together how we can change her mind."
Explanation: This response is inappropriate as it involves the nurse expressing a personal opinion and attempting to influence the client's decision. The nurse's role is to support the client's autonomy and facilitate communication between the client and their family.
C. "You will need to go to court and be declared a guardian."
Explanation: Involving the court and seeking guardianship is not warranted when the client has decision-making capacity. This option is not aligned with the principles of respecting the client's autonomy and decision-making capacity.
D. "Health care proxies only come into play when the individual can no longer make their own decisions. Your mother is able to make her own decisions. I suggest you talk with her."
Explanation: In this scenario, the client is cognitively intact and has decision-making capacity. As long as the older adult is able to make their own decisions, the health care proxy's role is not activated. The nurse appropriately advises the daughter to communicate directly with her mother about her concerns and decisions. This respects the autonomy of the client, who has the right to make decisions about their own healthcare as long as they have the capacity to do so.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Two servings of deep-colored fruit.
While fruits are recommended, the "deep-colored" specification is not a specific focus in the MyPlate for Older Adults.
B. Six or more servings of fortified, enriched, or whole grain foods.
Correct. Whole grains are an important source of fiber, vitamins, and minerals.
C. Three or more servings of low-fat or nonfat dairy products.
Correct. Dairy products provide calcium and vitamin D, important for bone health.
D. Three 8-ounce glasses of water.
Correct. Staying hydrated is crucial for overall health, especially for older adults.
E. Four or more servings of high-quality protein.
Correct. Protein is essential for muscle maintenance and repair. Sources of high-quality protein include lean meats, poultry, fish, eggs, dairy, and plant-based protein sources.
F. One or two servings of brightly colored vegetables.
While vegetables are recommended, the "brightly colored" specification is not a specific focus in the MyPlate for Older Adults.
Correct Answer is C
Explanation
A. Hospice care.
Explanation: Both Medicare Part A and Part B cover hospice care, and hospice care is not a fundamental difference between the two parts.
B. Home care services.
Explanation: Both Medicare Part A and Part B cover certain home care services. While the specific services covered may vary, home care services are not a fundamental difference between the two parts.
C. Health care setting.
Explanation: Medicare Part A and Part B cover different aspects of healthcare and are designed for different health care settings.
Medicare Part A (Hospital Insurance): Primarily covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care services. It is generally associated with institutional settings.
Medicare Part B (Medical Insurance): Covers outpatient care, preventive services, doctor visits, and some home health care services. It is more focused on services provided in non-institutional settings.
D. Invasive procedures.
Explanation: Both Medicare Part A and Part B cover various medical services, including invasive procedures. The nature of procedures covered may differ, but it is not a fundamental difference distinguishing between Part A and Part B.
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