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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Naxlex Comprehensive Predictor Exams
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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.
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.
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