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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Correct Answer is B
Explanation
Choice A reason:
Attaching the restraints using a quick-release tie is essential for ensuring the safety of the client and the healthcare staff. A quick-release tie allows for the rapid removal of the restraints in case of an emergency, such as a fire or a sudden change in the client’s condition. This method is recommended by healthcare guidelines to ensure that restraints can be removed swiftly and safely.
Choice B reason:
Contacting the provider for a PRN (as needed) prescription for restraints is a necessary step to ensure that the use of restraints is authorized and documented. Restraints should only be used when absolutely necessary and with proper authorization to prevent misuse and to protect the client’s rights. This step ensures that the decision to use restraints is made with careful consideration and in accordance with legal and ethical standards.
Choice C reason:
Securing the restraints to a side rail on the client’s bed is not recommended. This practice can pose a significant risk to the client, as it can lead to injury if the client attempts to move or if the side rail is raised or lowered. Restraints should be secured to a part of the bed frame that does not move, such as the bed frame itself, to ensure the client’s safety.
Choice D reason:
Leaving enough room to fit three fingers between the restraints and the client’s wrist is incorrect. The correct practice is to leave enough room to fit two fingers between the restraints and the client’s wrist. This ensures that the restraints are not too tight, which could cause circulation problems or skin damage, and not too loose, which could allow the client to remove them.
Correct Answer is B
Explanation
Choice A: I use garlic for my menopausal symptoms.
Garlic is not typically used for menopausal symptoms. Common herbal supplements for menopause include black cohosh, red clover, and evening primrose oil. These herbs are known to help alleviate symptoms such as hot flashes and night sweats. Garlic, on the other hand, is more commonly associated with cardiovascular benefits, such as lowering blood pressure and cholesterol levels.
Choice B: I use ginger when I get car sick.
Ginger is well-known for its effectiveness in treating nausea and motion sickness. Studies have shown that ginger can help reduce symptoms of motion sickness, such as dizziness, vomiting, and cold sweats. It works by stabilizing digestive function and maintaining consistent blood pressure, which helps alleviate nausea. Therefore, using ginger for car sickness is a correct and effective use of the supplement.
Choice C: I take ginkgo biloba for a headache.
Ginkgo biloba is not typically used for headaches. It is more commonly used to improve cognitive function and circulation. While some studies suggest that ginkgo biloba may help reduce the frequency and severity of migraines due to its antioxidant properties, it is not a primary treatment for headaches. Other supplements, such as feverfew and butterbur, are more commonly recommended for headache relief.
Choice D: I take echinacea to control my cholesterol.
Echinacea is primarily used to boost the immune system and help fight infections, such as the common cold. There is no substantial evidence to support the use of echinacea for controlling cholesterol levels For cholesterol management, supplements like omega-3 fatty acids, plant sterols, and soluble fiber are more effective.