A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?
The client is incapable of providing self-care.
The client is terminally ill.
The client is unable to express their wishes.
The client has refused treatment.
The Correct Answer is C
Choice A Reason:
The condition that the client is incapable of providing self-care does not necessarily make a durable power of attorney enforceable. While incapacity can be a factor, the key aspect is the client’s ability to make decisions. A durable power of attorney becomes effective when the client is unable to make their own decisions, not merely when they are unable to provide self-care.
Choice B Reason:
Being terminally ill does not automatically make a durable power of attorney enforceable. The enforceability of a durable power of attorney is based on the client’s decision-making capacity. While terminal illness might lead to incapacity, it is the inability to make decisions that triggers the use of the durable power of attorney.
Choice C Reason:
A durable power of attorney is specifically designed to be enforceable when the client is unable to express their wishes. This legal document allows the designated agent to make decisions on behalf of the client when they are incapacitated and unable to communicate their preferences. This ensures that the client’s affairs are managed according to their wishes, even when they cannot express them.
Choice D Reason:
The refusal of treatment by the client does not make a durable power of attorney enforceable. The enforceability is related to the client’s capacity to make decisions. If a client is still capable of making informed decisions, even if they refuse treatment, the durable power of attorney does not come into effect.
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View Related questions
Correct Answer is ["A","E"]
Explanation
Choice A Reason:
Cutting the opening of the pouch 1/8 inch larger than the stoma is crucial to ensure a proper fit and to prevent skin irritation. The stoma can change size, especially in the initial weeks post-surgery, so it is important to measure it regularly and adjust the pouch opening accordingly. This practice helps in maintaining a secure seal and protecting the skin around the stoma from exposure to waste.
Choice B Reason:
Placing a piece of gauze over the stoma while changing the pouch can help in absorbing any output and keeping the area clean during the change. However, this is more of a practical tip rather than a strict instruction for ostomy care. It is not essential for all patients and may vary based on individual preferences and needs.
Choice C Reason:
Expecting the stoma to turn a purple-blue color as it heals is incorrect. A healthy stoma should be pink or red and moist. A purple-blue color can indicate poor blood supply or other complications and should be reported to a healthcare provider immediately. Proper stoma care includes monitoring its color and seeking medical advice if any unusual changes occur.
Choice D Reason:
Using povidone-iodine to clean around the stoma is not recommended. The skin around the stoma should be cleaned with mild soap and water or just water. Povidone-iodine can be too harsh and may cause irritation or allergic reactions. It is important to use gentle cleaning methods to maintain skin integrity and prevent complications.
Choice E Reason:
Emptying the ostomy pouch when it becomes one-third full of contents is a standard practice to prevent leaks and maintain comfort. Overfilling the pouch can lead to detachment from the skin and potential skin irritation. Regular emptying helps in managing the ostomy effectively and maintaining hygiene.
Correct Answer is D
Explanation
Choice A Reason:
The National League for Nursing (NLN) is an organization that focuses on nursing education and the development of nurse educators. While it plays a significant role in advancing the quality of nursing education, it does not define the nursing scope of practice. The NLN provides resources, professional development, and accreditation for nursing programs, but the legal scope of practice is determined by state laws and regulations.
Choice B Reason:
The Joint Commission is an independent, non-profit organization that accredits and certifies healthcare organizations and programs in the United States. Its primary role is to ensure that healthcare organizations meet certain performance standards to provide safe and effective care. While the Joint Commission sets standards for healthcare quality and safety, it does not define the nursing scope of practice. Its focus is on organizational accreditation rather than individual professional practice.
Choice C Reason:
The Patients Bill of Rights is a document that outlines the rights and responsibilities of patients within the healthcare system. It aims to ensure that patients receive fair and respectful treatment and have a voice in their care decisions. Although it is important for protecting patient rights, it does not define the nursing scope of practice. The Patients Bill of Rights addresses patient care from a consumer perspective rather than a professional regulatory standpoint.
Choice D Reason:
State-based Nurse Practice Acts are laws enacted by state legislatures that define the scope of practice for nurses within that state. These acts outline the legal parameters for nursing practice, including what tasks and responsibilities nurses are authorized to perform. They are designed to protect public health and safety by ensuring that nurses provide care within their level of competence and training. The Nurse Practice Acts are the primary source for defining the nursing scope of practice and are enforced by state boards of nursing.