PN FUNDAMENTALS PROCTORED EXAM. A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? A. "You must ... have advance directives in place in order to refuse recommended treatment.", B. "An attorney is needed in order for you to name a designee in your health care proxy.". C. "A living will can be an oral statement that you agree upon with your provider.". D. "You can decline to have certain medical procedures performed in your living will." Explanation: Advance directives are legal documents that allow individuals to specify their wishes regarding medical treatment in the event they are unable to make decisions for themselves. A living will is a component of advance directives and outlines the medical treatments the patient does or does not want to receive if they are terminally ill or in a persistent vegetative state. It is important to note that a living will can be decline specific medical procedures, not refuse all treatment. Why other options are incorrect: A. "You must have advance directives in place in order to refuse recommended treatment." While advance directives are highly recommended, they are not mandatory in all jurisdictions. Some states allow for refusal of treatment even without formal advance directives. Additionally, refusing treatment can sometimes be exercised through informed consent or other legal mechanisms. B. "An attorney is needed in order for you to name a designee in your health care proxy." While having an attorney assist with completing advance directives can be beneficial, it is not a requirement. Many states allow for self-directed completion of advance directives, including the designation of a health care proxy. C. "A living will can be an oral statement that you agree upon with your provider." While verbal communication regarding end-of-life wishes is important, a formal, written living will is generally required to be legally binding. An oral statement may not be sufficient in a court of law or with future healthcare providers. A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make? A. "They allow the court to overrule an adult client's refusal of medical treatment." B. "They indicate the form of treatment a client is willing to accept in the event of a serious illness." C. "They permit a client to withhold medical information from health care personnel." D. "They allow health care personnel in the emergency department to stabilize a client's condition." "They allow the court to overrule an adult client's refusal of medical treatment." INCORRECT A court can only overrule an adult client's refusal of medical treatment if the client is legally incompetent. "They indicate the form of treatment a client is willing to accept in the event of a serious illness." CORRECT Advance directives include a living will, which permits clients to direct the treatment they will receive in the event of a medical [Show More]
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