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
Explanation
Choice A Reason:
Airborne precautions are necessary for clients with tuberculosis (TB) because TB is an airborne disease. It is transmitted through tiny droplets released into the air when an infected person coughs, sneezes, or talks. These precautions include placing the client in a negative pressure room, using N95 respirators for healthcare workers, and ensuring the client wears a surgical mask when outside their room. These measures help prevent the spread of TB to others.
Choice B Reason:
Protective precautions, also known as reverse isolation, are used to protect immunocompromised patients from infections. These precautions are not appropriate for a client with TB, as the primary concern is preventing the spread of TB from the infected client to others, not protecting the client from external infections.
Choice C Reason:
Contact precautions are used for infections that are spread by direct or indirect contact with the patient or their environment, such as MRSA or C. difficile. TB is not spread through contact but through airborne particles, so contact precautions are not sufficient for preventing the transmission of TB.
Choice D Reason:
Droplet precautions are used for diseases that are spread through large respiratory droplets, such as influenza or pertussis. While TB is a respiratory disease, it is spread through much smaller airborne particles that can remain suspended in the air for longer periods, making airborne precautions necessary instead of droplet precautions.
Correct Answer is D
Explanation
Choice A reason:
“It is not necessary to tell the doctor about the herbal supplements I take.” This statement is incorrect. It is crucial to inform the doctor about all medications, including herbal supplements, as they can interact with prescription medications and cause adverse effects. Herbal supplements can strongly affect the body and may not work well with prescription medicines.
Choice B reason:
“I am less likely to experience an allergic reaction from medications I have taken before.” This statement is incorrect. Allergic reactions can occur even if the medication has been taken before without any issues. The immune system can develop sensitivities over time, and an allergic reaction can happen at any point.
Choice C reason:
“If a medication makes me feel nauseated, then I should stop taking it for 1 week.” This statement is incorrect. Stopping a medication without consulting a healthcare provider can be dangerous. It is important to discuss any side effects with a healthcare provider to determine the best course of action. Stopping a medication abruptly can lead to worsening of the condition or other complications.
Choice D reason:
“My medications could interact with foods that I eat.” This statement is correct. Certain foods can interact with medications and affect their absorption, effectiveness, or cause adverse effects. For example, grapefruit juice can interact with statins and increase the risk of side effects. It is important to be aware of potential food-drug interactions and follow the healthcare provider’s advice on medication administration.