To best address the patient's right to self-determination, which ...

[eruditmonkey@yahoo.com]

To best address the patient's right to self-determination, which of the follow questions does the nurse ask at the time the patient is admitted to a nursing facility? (Select all that apply.)
 
  a. Do you understand what a living will and durable power of attorney are?
  b. If you have already prepared an advance care directive, can you provide it now?
  c. Are you prepared to discuss your end-of-life choices with the nursing staff?
  d. Have you discussed your end-of-life choices with your family or designated surrogate?
  e. Would you like help with preparing a living will or a durable power of attor-ney?

Question 2

An older patient is hospitalized after a fall that resulted in a fractured left ankle
 
  By day 4 of the hospitalization, which includes reduction of the fracture and analgesic drug therapy, the patient has become mildly disoriented and is incontinent of urine. The nurse explains to the family that these symptoms reflect the:
  a. relationship between aging and both physical and psychosocial responses to trauma.
  b. response exhibited by many older adults who are hospitalized.
  c. effects of stress-induced perceptual defi-cits often seen in the hospitalized older adult.
  d. results of the pharmacologic pain control therapy.

[JYan]

Answer to Question 1

A, B, D, E
All the correct options address the patient's right to make an informed decision regarding health care issues by using various advance directives. The patient does not need to discuss end-of-life choices with the staff in order to exercise the right to self-determination.

Answer to Question 2

A
Many serious consequences are the result of the interaction of physical and psychosocial factors in the older patient. Although the other options have some degree of truth to them, the most comprehensive answer is the one that relates aging to response to trauma.

[eruditmonkey@yahoo.com]

Great answer, keep it coming

[cassie_ragen]

Thanks for the timely response, appreciate it