A client refuses to complete an advance directive because he is not "ready to die." What should the nurse respond to this statement?
1. "It's best to be safe than sorry."
2. "You are right – it is more appropriate for someone who has a terminal illness."
3. "That's fine. I'll just document that you refuse to decide your medical treatment."
4. "It is a documentthat allows you to make legal decisions about how you wish to receive future medical treatment."
4
Rationale 1: Saying that it is better to be safe than sorry does not explain the purpose of an advance directive.
Rationale 2: Advance directives are appropriate for all clients and not just those with a terminal illness.
Rationale 3: The client did not refuse to decide medical treatment.
Rationale 4:An advance medical directive is a documentthat allows clients to make legal decisions about how theywish to receive future medical treatment.
Global Rationale: An advance medical directive is a document that allows clients to make legal decisions about how they wish to receive future medical treatment.Saying that it is better to be safe than sorry does not explain the purpose of an advance directive. Advance directives are appropriate for all clients and not just those with a terminal illness. The client did not refuse to decide medical treatment.
You might also like to view...
With the current health care industry focus on managed care, nurses must be more cost-conscious. Which option is an example of a nurse being cost-conscious?
1. The nurse reviewing the client's itemized bill each day 2. The nurse's decision to use fewer supplies when changing a dressing 3. The nurse manager reviewing client costs on a daily basis 4. The nurse manager requesting that the materials management director obtain quotes for less expensive items
When reviewing research literature, the nurse should expect to find the clinical question in which section of the research article?
a. The methods section b. The results section c. The data analysis section d. The abstract/title section
After a mass transit disaster many injured patients are expected at the emergency room. The nurse expects victims to have which assessment findings?
a. Dissociative symptoms, numbing, detachment, and derealization b. Auditory hallucinations and other perceptual distortions c. Physical symptoms that mimic neurologic disorders d. Exaggerated mood (either depression or elation)
The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years
The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used? a. Iterative b. Top-down c. Participatory d. Zero-based