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 D
Explanation
Choice A Reason:
Telling the client to ask their provider if they recommend traditional Chinese medicine (TCM) is a cautious approach, but it may not fully address the client’s interest in exploring alternative treatments. While it is important for the client to discuss their treatment options with their provider, the nurse can take a more proactive role by facilitating access to TCM practitioners.
Choice B Reason:
Suggesting that the client try the prescribed medication before choosing an alternative may come across as dismissive of the client’s preferences. It is important to respect the client’s autonomy and support their informed decision-making. Encouraging the client to explore TCM while also considering the prescribed medication can be a more balanced approach.
Choice C Reason:
Stating that the FDA regulates traditional Chinese medicine is inaccurate. The FDA does not regulate TCM in the same way it regulates conventional pharmaceuticals. TCM practices and products are subject to different regulatory standards, and it is important for the nurse to provide accurate information about the regulatory status of TCM.
Choice D Reason:
Offering to arrange a referral to a practitioner of traditional Chinese medicine is an appropriate and supportive response. This approach respects the client’s interest in TCM and facilitates access to qualified practitioners who can provide safe and effective care. It also ensures that the client receives comprehensive information about their treatment options.
Correct Answer is A
Explanation
Choice A: I will walk three times per week.
Walking is a weight-bearing exercise, which is crucial for maintaining bone density and reducing the risk of osteoporosis. Regular physical activity, especially weight-bearing exercises like walking, helps stimulate bone formation and slows down bone loss. The National Osteoporosis Foundation recommends at least 30 minutes of weight-bearing exercise on most days of the week to help prevent osteoporosis.
Choice B: I will avoid exposure to the sun.
Avoiding sun exposure is not advisable for reducing the risk of osteoporosis. Sunlight is a natural source of vitamin D, which is essential for calcium absorption and bone health. While excessive sun exposure can be harmful, moderate exposure helps the body produce sufficient vitamin D. Therefore, avoiding sun exposure entirely can lead to vitamin D deficiency, increasing the risk of osteoporosis.
Choice C: I will take 250 milligrams of calcium once per day.
The recommended daily intake of calcium for older adults is significantly higher than 250 milligrams. For adults aged 51 and older, the National Institutes of Health recommends 1,200 milligrams of calcium per day. Adequate calcium intake is vital for maintaining bone health and preventing osteoporosis. Therefore, taking only 250 milligrams of calcium per day is insufficient to meet the body’s needs.
Choice D: I will decrease my intake of dairy products.
Dairy products are a primary source of calcium, which is essential for bone health. Reducing the intake of dairy products can lead to inadequate calcium intake, increasing the risk of osteoporosis. Instead, older adults should ensure they consume enough dairy or other calcium-rich foods to meet their daily calcium requirements.
