Nokea
The nurse is discussing advance care planning with a client and emphasizes the importance of a Medical Power of Attorney (POA). The nurse explains that a Medical POA allows the client to do which of the following?
- A. Designate a family member to make financial decisions on their behalf.
- B. Specify funeral arrangements and preferences for end-of-life care.
- C. Appoint a trusted individual to make healthcare decisions in case of incapacity.
- D. Choose the primary physician for ongoing medical care.
Correct Answer: C
Rationale: A Medical Power of Attorney (C) allows the client to appoint someone to make healthcare decisions if incapacitated. Financial decisions (A), funeral arrangements (B), and physician selection (D) are not covered by a medical POA.
You may also like to solve these questions
A nurse is caring for a client who is admitted to the emergency department with suspected rhabdomyolysis. Which of the following interventions should the nurse anticipate implementing initially for this client?
- A. Administering intravenous fluids
- B. Monitoring the client’s liver enzymes
- C. Administering corticosteroids
- D. Initiating prophylactic antibiotic therapy
Correct Answer: A
Rationale: Intravenous fluids (A) are the initial intervention for rhabdomyolysis to prevent kidney damage by flushing myoglobin and maintaining urine output. Monitoring liver enzymes (B), corticosteroids (C), and antibiotics (D) are not primary interventions for this condition.
The nurse is caring for assigned clients in the behavioral health unit. The nurse should initially assess the client who
- A. has postpartum depression who appears unkempt and dejected.
- B. recently lost their family in an accident and currently states, 'I want to be with them.'
- C. has anorexia nervosa and demands that she get reweighed.
- D. refused their second dose of prescribed lithium because of a fine hand tremor.
Correct Answer: B
Rationale: The statement 'I want to be with them' (B) indicates suicidal ideation, requiring immediate assessment for safety. Postpartum depression (A), anorexia demands (C), and lithium refusal (D) are concerning but less urgent.
A mental health clinic is being constructed in a local community. A nurse manager is hired to facilitate the unit’s nursing policies. Which of the following is the best resource for these policies?
- A. Code of Ethics
- B. Nurse Practice Act
- C. Patient’s Bill of Rights
- D. Rights for the Mentally Ill
Correct Answer: B
Rationale: The Nurse Practice Act (B) defines legal scope and standards for nursing practice, making it the best resource for policy development. Code of Ethics (A), Patient’s Bill of Rights (C), and Rights for the Mentally Ill (D) guide but lack specific operational details.
The registered nurse (RN) is observing licensed practical/vocational nurses (LPN/VN) care for assigned clients. Which of the following actions by the LPN would require the RN to intervene? Select all that apply.
- A. Positions an unconscious client semi-Fowlers for oral care
- B. Administers a bronchodilator to a client with chronic asthma
- C. Irrigates an indwelling urinary catheter with 30 ml of sterile saline
- D. Removes and reapplies weight to a client's skin traction every two hours
- E. Administers intramuscular (IM) ketorolac to a client with osteoarthritis
Correct Answer: A
Rationale: Positioning an unconscious client in semi-Fowler’s for oral care (A) risks aspiration, requiring intervention. Bronchodilator (B), catheter irrigation (C), traction adjustment (D), and ketorolac administration (E) are within LPN scope if per protocol.
Which statements about an electronic medical record (EMR) system are true for the nurse working in a hospital? Select all that apply.
- A. Allows for efficient and centralized documentation of patient information.
- B. Enhances communication among healthcare providers by facilitating the sharing of patient data.
- C. Improves patient safety by reducing the risk of errors in medication administration and treatment plans.
- D. Supports evidence-based practice by providing access to medical research and clinical guidelines.
- E. Eliminates the need for physical storage of paper records, reducing clutter and saving space.
Correct Answer: A, B, C, D, E
Rationale: All statements are true: EMRs centralize documentation (A), enhance provider communication (B), reduce medication and treatment errors (C), support evidence-based practice with research access (D), and eliminate paper record storage (E). These features improve efficiency, safety, and care quality in hospitals.