The nurse is aware that decision-making capacity is likely to be impaired for a patient who: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Is being medicated for severe pain
2. Does not understand the medical condition
3. Has been diagnosed with septic shock
4. Is depressed
5. Asks questions about identified treatments
1,2,3,4
Rationale 1: The patient must be capable of rational thought and be able to recognize what the prospective treatment involves.
Rationale 2: Understanding the health condition is one component of informed consent.
Rationale 3: It is common for health care providers and family members to question the decision-making ability of critically ill patients. Many critically ill patients lack the capacity to give informed consent.
Rationale 4: Patients who are depressed may not be capable of thinking clearly.
Rationale 5: Asking questions about identified treatments is not a characteristic of a patient with impaired decision-making ability.
You might also like to view...
A nurse is completing the discharge instructions for a 75-year-old widower who is living alone and is leaving the hospital following hip replacement surgery
The measurable outcome that should guide the patient's discharge plan of care should be the patient's ability to: A) Be responsible for herself B) Meet developmental way points C) Demonstrate self-care abilities D) Provide evidence of follow-through on the plan of care
The nurse is caring for an adolescent with bipolar disorder who has expressed the desire to harm self. What is the priority nursing diagnosis for this client?
A) Powerlessness related to mood instability B) Impaired Social Interaction C) Risk for Suicide D) Social Isolation related to disorder
The client receives tamoxifen (Nolvadex) for treatment of breast cancer. She asks the nurse why the medicine works. What is the best response by the nurse?
1. "Tamoxifen (Nolvadex) works by inhibiting the metabolism of breast cancer cells.". 2. "Tamoxifen (Nolvadex) works by blocking estrogen receptors on breast tissue.". 3. "Tamoxifen (Nolvadex) works by inhibiting the cellular mitosis of breast cancer.". 4. "Tamoxifen (Nolvadex) works by binding to the DNA of breast cancer cells.".
A client who underwent a cholecystectomy a few days ago begins to exhibit symptoms
of difficulty in breathing, sharp chest pain, cough, cyanosis, increased respirations and heart rate, and severe anxiety. What danger of prolonged bed rest following surgery is most likely to be the cause of these symptoms? A) Postoperative infection B) Pulmonary embolism C) Hypovolemic shock D) Atelectasis