A nurse is caring for a client who has designated someone else to make health care decisions when he or she is unable to do so. Which of the following is being used by the client?
a. An advanced medical directive
b. A living will
c. A durable medical power of attorney
d. The Patient Self-Determination Act
ANS: C
Durable medical power of attorney is the legal way for a client to designate someone else to make health care decisions when he or she is unable to do so. An advanced medical directive in-cludes both a living will and a durable medical power of attorney. A living will allows the client to express the wishes regarding the use of medical treatments in the event of a terminal illness. The Patient Safe Determination Act requires those providers receiving Medicare and Medicaid funds to give clients written information regarding their legal options for treatment choices if they become incapacitated.
You might also like to view...
A patient is receiving chloroquine. The nurse would instruct the client to do which of the following?
A) Avoid foods that acidify the urine. B) Take the drug on an empty stomach. C) Increase dosage if dosage missed once. D) Discontinue drug if color of urine changes.
The client is being assessed for rotator cuff injury. Which physical assessment finding is consistent with this type of injury?
a. The client is unable to maintain adduction of the affected arm at the shoulder for longer than 30 seconds. b. The client is able to raise the affected arm to shoulder height but feels pain on doing this maneuver. c. The client is unable to initiate or maintain abduction of the affected arm at the shoulder. d. The client has referred pain to the shoulder and arm opposite the affected shoulder.
A nurse is conducting a workshop on family skill building. All participants have a family member with severe mental illness living in their household. Which method should be used to present coping skills to the participants?
a. Have a rehabilitation counselor facilitate the family-centered learning workshop. b. Present a skill and allow participants to give feedback on the usefulness of the skill for their family member. c. Arrange for the workshop presenter to be someone who has a family member diagnosed with serious and persistent mental illness. d. Have someone who has experience with in-home care for the mentally ill present a talk and question-and-answer session at the workshop.
You suspect that the client you are assigned has bulimia nervosa. Which of the following assessment findings would provide the strongest clue?
a. elevated vital signs b. weight gain c. erosion of dental enamel and salivary gland enlargement d. skin lesions on upper arms and enlargement of the liver