Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has dementia and is scheduled for a procedure. Which of the following individuals should the nurse request to sign the client's informed consent?
A. The client's son, who has a durable power of attorney.
The nurse should request the client's son, who has a durable power of attorney, to sign the client's informed consent. A durable power of attorney is a legal document that allows an individual to appoint someone to make decisions on their behalf in the event that they become unable to do so. If the client has dementia and is unable to provide informed consent for the procedure, the individual with a durable power of attorney has the legal authority to make decisions on their behalf.
B. The client's sister, who assists with finances.
C. The client's daughter, who is the primary caregiver.
D. The client, who has advance directives.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Medical Surgical Leadership Proctored Exam. Take the full exam now
Full Explanation
The nurse should request the client's son, who has a durable power of attorney, to sign the client's informed consent. A durable power of attorney is a legal document that allows an individual to appoint someone to make decisions on their behalf in the event that they become unable to do so. If the client has dementia and is unable to provide informed consent for the procedure, the individual with a durable power of attorney has the legal authority to make decisions on their behalf.
The other individuals are not the appropriate person to sign the client's informed consent. The client's sister [b] and daughter [c] may be involved in the client's care and decision-making, but they do not have the legal authority to provide informed consent on behalf of the client unless they have been designated as such in a legal document. Advance directives [d] are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care, but they do not grant decision-making authority to another individual.
Similar Questions
A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take?
A. Report the observation to the nurse caring for that client.
Option A, may not be the best initial action because it does not directly address the situation.
B. Notify hospital security and discuss the situation.
Option B may be premature without first gathering more information.
C. Ask other staff if they recognize the individual.
Option C, may also not be the best initial action because it does not directly address the situation.
D. Approach the man and ask why he is making copies.
The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Full Explanation
The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Option A, may not be the best initial action because it does not directly address the situation.
Option B may be premature without first gathering more information.
Option C, may also not be the best initial action because it does not directly address the situation.
A nurse enters a client's room and finds the client on the floor. Which of the following actions should the nurse take first?
A. Collect data on the client.
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
B. Place the client back into bed.
Option b may not be appropriate without first assessing the client's condition.
C. Notify the client's provider.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
D. Fill out an incident report.
Option d may also be necessary, but it should not be the first action taken.
Full Explanation
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.
Essential elements of effective delegation by an LPN include: (SELECT ALL THAT APPLY)
A. Compliance with state and institutional policies.
B. Direct supervision of tasks assigned to others.
may not always be necessary as direct supervision may not always be required for all tasks assigned to others.
C. Evaluation of the patient's response to care.
D. Knowledge of each patient's condition.
E. Determination of tasks that can be safely delegated.
Full Explanation
Effective delegation by an LPN includes compliance with state and institutional policies, evaluation of the patient's response to care, knowledge of each patient's condition, and determination of tasks that can be safely delegated.
Option B may not always be necessary as direct supervision may not always be required for all tasks assigned to others.