A nurse is working with a client who wants to have an advance directive in place to direct their care. Select which aspects should be discussed with the client when formulating an advance directive for their care. Select all that apply.
The nurse is caring for a 70-year-old client diagnosed with pneumonia. The treatment plan includes antibiotics, breathing treatments, and incentive spirometer use. The client is alert and oriented to person, place, time, and situation. They are on 2L nasal cannula without any signs or symptoms of distress. The client states, “I do not want to have any antibiotics, I just want this to run its course.” The nurse knows this client has a durable power of attorney. Which of the following should the nurse do?
A 58-year-old client is in the hospital to have surgery and the family asks about advance directives. The client lives at home with his parents and has a mild cognitive disability. Which of the following elements would the nurse consider when assessing competence for this client to decide about an advance directive? Select all that apply.
A client is having a yearly well visit and asks the nurse, “If I appoint a power of attorney do I lose my right to make medical decisions?” Which of the following responses is best?
Which of the following best describes a healthcare proxy as part of an advance directive?
In the event that a client becomes incompetent to make his or her own decisions, the healthcare power of attorney can authorize which of the following?
The nurse is working with a client who has decided to be designated as a DNR (do not resuscitate). Which of the following actions should the nurse ensure are complete in order for the DNR to be appropriately implemented? Select all that apply.
A client is being admitted to the hospital for surgery. Which best describes an example of an assessment parameter used by the nurse to determine if the client has an advance directive?
A nurse is admitting a client to the long-term care facility. During the admission process, the nurse asks the client if they have an advance directive and the client says no. How should the nurse respond?
The nurse is caring for a client who just arrived on the unit from PACU after a craniotomy for tumor debulking. After completing the initial assessment, the nurse administers morphine for pain. The client is groggy, but oriented and compliant. The client’s daughter is outside of the room and asks, “Can you just knock him out? He is agitated and getting on my nerves. He’s probably in pain and just needs to sleep off the rest of the day. I’m his health care power of attorney as you can see in the chart.” What is the most appropriate response?
