Which statement is true concerning advanced directives?
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status.
The document means nothing to the nurse because the attending physician will decide the client's care.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates.
The Correct Answer is C
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status: This statement is partially correct. Advanced directives may include naming a healthcare proxy or DPOAHC, but their decisions are typically in line with the client's expressed wishes, especially if those wishes are documented in the advanced directive.
The document means nothing to the nurse because the attending physician will decide the client's care: This statement is incorrect. Advanced directives are legally binding documents that guide medical decisions when the client is unable to communicate or make decisions.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated: This statement is true. Advanced directives empower clients to make decisions about their healthcare preferences, including the desire for life-sustaining measures, in the event they become unable to communicate their wishes.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates: This statement is incorrect. The nurse should always follow appropriate protocols and initiate necessary interventions regardless of the presence of advanced directives, especially if the client's condition deteriorates.
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Related Questions
Correct Answer is D
Explanation
Beneficence includes acts that end a client's suffering permanently: This statement is not accurate. Beneficence refers to the duty to do good and promote the well-being of the patient, but it does not necessarily include actions that end a patient's life permanently. Assisted suicide is a complex ethical issue and not universally considered an act of beneficence.
Paternalism is justified when the client is unsure about the best course of treatment: This statement is not accurate. Paternalism refers to the restriction of a person's autonomy for their own good. In cases of assisted suicide, paternalism would oppose the individual's right to make the decision about their own life, even if they are unsure about the best course of treatment.
Informed consent can only be fulfilled by the client understanding all alternatives: This statement is not accurate. While informed consent requires the patient to understand the alternatives, it is not specifically related to the ethical principle supporting assisted suicide. Informed consent is a broader concept applied to various medical procedures and interventions.
The right to self-determination includes the decision to end one's life: This statement is accurate. The right to self-determination is a fundamental ethical principle that respects an individual's autonomy and ability to make decisions about their own life, including decisions related to death, as seen in the case of assisted suicide.
Correct Answer is A
Explanation
Doing no harm to clients: This is the correct definition of nonmaleficence. It means ensuring that healthcare providers do not cause harm intentionally or unintentionally to their patients.
Telling the truth to clients in all matters: While honesty and truthfulness (veracity) are important ethical principles, this statement does not directly define nonmaleficence. Nonmaleficence specifically emphasizes the prevention of harm, not just truth-telling.
Being faithful to commitments made to clients: Faithfulness and keeping commitments are aspects of fidelity, another ethical principle. It involves keeping promises and being loyal to patients. Although important, this does not capture the essence of nonmaleficence.
Determining the rights of clients: Protecting a patient's rights is crucial, but it is more aligned with the ethical principle of autonomy, where patients have the right to make decisions about their own healthcare. Nonmaleficence is specifically concerned with the prevention of harm.
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