The family attorney informed a client's adult children and wife that the client did not have an advance directive after suffering a serious stroke. Who is responsible for EOL (End of Life) measures when the client cannot communicate his or her specific wishes?
Physician and nursing staff
Physician and family
Spouse and adult children
Notary and attorney
The Correct Answer is C
A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Health Belief Model is illustrated here as the client’s motivation to get a mammogram is based on her belief in the severity of breast cancer and the benefits of early detection to prevent death.
B. Social Learning Theory involves learning through observation and imitation, which is not directly reflected in the client’s decision-making process described.
C. The Theory of Reasoned Action focuses on behavioral intentions based on attitudes and subjective norms, which is less relevant to the client’s belief about the severity of a health condition.
D. The Transtheoretical Model involves stages of change related to behavior modification, which is not directly illustrated by the client’s statement about her motivations for undergoing a mammogram.
Correct Answer is B
Explanation
A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.
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