The nurse is caring for a 90-year-old male who has never completed an advanced directive. The man has a son but has not seen him in several years. A neighbor has assisted him with meals and housecleaning for many years
The neighbor states that the client expressed only wanting to have comfort measures. The estranged son wants his father to be treated aggressively. Which would be the nurse's initial step? A) Follow the son's directive.
B) Follow the neighbor's directive.
C) Assess the client's ability to state wishes.
D) Notify the physician of the discrepancy.
C
Feedback:
It cannot be assumed that the client is unable to make his own decisions just because of his advanced age. Before any other person is asked about the client's wishes, the client needs to be asked first. The physician, who has a healthcare relationship with the client, may also have documented information about wishes.
You might also like to view...
The nurse is participating in a family conference regarding one of the patients on the geriatric unit. During the conference, each family member is asked about his role in the family, communication style,
coping strategies, and relationship with other family members. This type of family conference best illustrates the use of which theory related to family care? a. General systems theory b. Structural-functional theory c. Family interactional theory d. Developmental theory
The nurse is concerned that an intubated patient is experiencing a cuff leak. Which assessment data would support the nurse's concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Increased temperature 2. The patient saying, "My neck hurts" 3. Edema of the upper extremities 4. A hissing sound heard over the trachea on expiration 5. Bubbling secretions at the corner of the patient's mouth
Cardiovascular nurses know that over a third of adults have two or more risk factors for heart disease and stroke, which may include
A. High blood pressure B. An inactive lifestyle C. Both 1 and 2 D. Normal body weight
A school nurse is teaching a fifth-grade classroom about good eating habits. The nurse knows she should:
1. Allow time for questions and for questions to be asked of the children. 2. Ask the children questions. 3. Demonstrate the eating habits, then allow for questions. 4. Give a quiz at the end to see what the children have learned.