An older client is admitted to the hospital for treatment of pneumonia. The client has a court appointed conservator who manages her finances. The nurse understands what fact about the situation?

The conservator will function in the same capacity as a health care proxy

This client does not have the capacity to give informed consent for any procedures

The presence of a conservator does not mean the client cannot give informed consent

The needs to provide all educational materials to the conservator instead of the client

Answer and Explanation

The Correct Answer is C

A. The conservator will function in the same capacity as a health care proxy.
Explanation: A conservator and a health care proxy serve different roles. A conservator is appointed by a court to manage financial affairs, while a health care proxy is designated to make medical decisions on behalf of the individual if they are unable to do so. These roles are not interchangeable.

B. This client does not have the capacity to give informed consent for any procedures.
Explanation: The presence of a conservator alone does not automatically indicate a lack of capacity to give informed consent. Capacity for making healthcare decisions is determined on an individual basis and may vary depending on the client's cognitive and decision-making abilities.

C. The presence of a conservator does not mean the client cannot give informed consent.
Explanation: Having a court-appointed conservator to manage finances does not automatically imply that the client lacks the capacity to provide informed consent for medical procedures. The ability to make healthcare decisions, including giving informed consent, is distinct from financial capacity. Even if a conservator is appointed for financial matters, the client may still have the capacity to participate in decisions related to their health and medical treatment.

D. The nurse needs to provide all educational materials to the conservator instead of the client.
Explanation: Educational materials related to the client's healthcare should be provided directly to the client whenever possible. While the conservator may be involved in financial matters, the client should still receive relevant information regarding their health and medical care.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Optimize physical health

Explanation: A person-centered community focuses on promoting and optimizing the physical health of its residents. This may include access to healthcare services, wellness programs, and activities that support overall well-being.

B. Provide financial assistance

Explanation: While financial considerations can impact an individual's overall well-being, providing financial assistance is not a standard component of a person-centered community. The focus is more on holistic care, social engagement, independence, and addressing basic needs. Financial assistance is often managed through external programs or services.

C. Provide social engagement

Explanation: Social engagement is a crucial component of person-centered care. Communities that prioritize person-centered care create environments that foster social interaction, community involvement, and meaningful connections among residents.

D. Maximize independence

Explanation: Person-centered communities aim to maximize the independence of their residents. This involves tailoring care and support to the individual's needs while empowering them to maintain autonomy and control over their daily lives.

E. Address basic needs

Explanation: Addressing basic needs is fundamental in a person-centered community. This includes ensuring that residents have access to essential necessities such as food, shelter, and personal care to create a supportive and dignified living environment.

A. Pointing to a grimacing face or crying B. Staring off into space C. Aggression D. Agitation E. Increased confusion F. Decreased passivity

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Pointing to a grimacing face or crying

Explanation: This behavior may indicate pain or discomfort, and it's important to assess and address the underlying cause.

B. Staring off into space

Explanation: Staring off into space may suggest disorientation or confusion. It's essential to evaluate whether this behavior is a manifestation of the client's cognitive impairment or if there are other contributing factors.

C. Aggression

Explanation: Aggression can be a behavioral expression of distress or frustration in cognitively impaired individuals. Identifying triggers and employing appropriate interventions is crucial for the safety of the client and others.

D. Agitation

Explanation: Agitation, restlessness, or pacing may be signs of discomfort, anxiety, or frustration in cognitively impaired individuals. Identifying the cause and implementing strategies to reduce agitation are essential aspects of care.

E. Increased confusion

Explanation: A sudden increase in confusion may indicate an underlying issue, such as an infection, medication side effect, or environmental change. Regular assessment of cognitive status helps in detecting changes and addressing them promptly.

F. Decreased passivity

Explanation: Passivity, or a lack of activity or initiative, is not necessarily a specific symptom commonly associated with cognitive impairment. Observing for changes in behavior, mood, and cognitive status is important, but the term "decreased passivity" is not a standard indicator of cognitive impairment. Instead, it's essential to assess for changes in behavior that may indicate distress or unmet needs.

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An older client is admitted to the hospital for treatment of pneumonia. The client has a court appointed conservator who manages her finances. The nurse understands what fact about the situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What components are included in a person-centered community? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

As a nurse caring for a cognitively impaired older adult client, you need to observe for which of the following? (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

Which one of the following is connected with the nursing home reform mandated by a 1987 law?

Which of the following assessments should be included in a post fall prevention assessment of an older adult? (Select all that apply.)

A home health nurse is making a home visit to an older adult client. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. The nurse recommends that the client eliminate which of the following? (Select all that apply.)

Which recommendations for daily food intake is correct for older adults according to the MyPlate for Older Adults? (Select all that apply.)

A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90°F outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to what?

Which of the following is a true statement about nutrition for older adults?

What are the benefits associated with telehealth technology? (Select all that apply.)