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A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

A.

"The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures."

B.

"The durable power of attorney for health care can cancel the client's living will."

C.

"The living will can be changed by you at any time."

D.

"The living will states the client's wishes regarding lifesaving measures."

Answer and Explanation

The Correct Answer is D

A. The Patient Self-Determination Act (PSDA) ensures patients are informed of their rights, but it does not provide a basis for changing a living will when a patient is incapacitated.  

 

B. A durable power of attorney for health care can make decisions on behalf of the client but cannot simply cancel the living will without considering the client's wishes as outlined in it.  

 

C. Family members cannot arbitrarily change a living will, especially when the client is unconscious; the living will reflects the client’s predetermined wishes.  

 

D. The living will is a legal document that outlines the client’s preferences regarding lifesaving measures and should be followed even if the client is unconscious.


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View Related questions

Correct Answer is A

Explanation

A. Asking the nursing staff to create a wish list for the lounge is a form of assessment or data collection, as it involves gathering input and opinions from the users to understand their needs and preferences.

B. Generating hypotheses typically involves formulating possible explanations or solutions based on existing information, which is not applicable here.

C. Planning refers to the development of strategies and actions based on collected data, but the wish list gathering is preliminary to this stage.

D. Data interpretation involves analyzing collected data to draw conclusions, which comes after the initial collection phase.

Correct Answer is C

Explanation

A. Refreezing is the stage where changes are solidified and new behaviors are established after the change has been implemented. This is not the current stage since you are still in the process of identifying the need for change.

B. Moving involves the actual implementation of the change, but you have not yet begun this phase; you're still recognizing the need for change.

C. Unfreezing is characterized by recognizing the need for change and creating awareness about it. Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.

D. Experiencing the change is not one of Lewin's stages and does not accurately describe your current situation of acknowledging the need for change.

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