Author Question: The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, ... (Read 135 times)

nramada · **on:** Jun 25, 2018

The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, however, is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situ

A) The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die.
B) I need to try to help the family understand the client's decision so they can work through this situation together.
C) This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make.
D) This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death.

Question 2

A client asks the nurse, How am I going to pay for a surgery? I'm broke, but I've been so sick. Which statement regarding the Affordable Care Act (ACA) may be applicable to this client's situation?

A) The ACA extends coverage to the working poor who do not qualify for public assistance and whose employers do not offer health insurance.
B) Unfortunately, you will probably be denied coverage because of your existing condition.
C) Most insurance premiums will be more and some less; you will have to shop around.
D) Because the rate of inflation is slowing, the ACA will also help curb medical costs.

Laurenleakan · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Principles-based theories stress individual rights, such as autonomy. The client has the ability to make the decision, and it is his right to autonomy to do that. Trying to help the family understand the client's decision is an example of a caring-based theory in practice. Caring theories, or relationship theories, stress courage, generosity, commitment, and the need to nurture and maintain relationships. Caring theories promote the common good or the welfare of the group. Considering the client's condition and the outcome of treatment is an example of consequence-based reasoning, in which the nurse looks at the outcomes of the client's decision. The client's understanding of his decision and its consequences does not address the client's right to make a decision autonomously.

Answer to Question 2

Answer: A

The ACA extends coverage, in some states, to the working poor who do not qualify for public assistance and whose employers do not offer health insurance. Under the ACA, a client cannot be denied coverage because of an existing condition. Insurance premiums should remain the same.