A client, hospitalized with an extensive cerebral vascular ...

[ssal]

A client, hospitalized with an extensive cerebral vascular accident, is unable to make any treatment decisions. Which of the following documents addresses the client's treatment choices? (Select all that apply.)
 
  1. Living will
  2. Durable power of attorney for health care
  3. Incident report
  4. Verbal advance directive
  5. Advance directive
  6. Medication administration record

Question 2

A client from a non-English-speaking culture refuses to accept one prescribed treatment for an acute illness. Which of the following should the nurse do to support this client's refusal of care?
 
  1. Suggest the client be discharged since care is being refused.
  2. Talk with the client about the treatment and why it is not being accepted.
  3. Ask the physician to prescribe an equally effective treatment so that the client may agree.
  4. Transfer the client to another care area.

[beccamahon]

Answer to Question 1

1, 2, 4, 5
Advance directives allow a person to make specific decisions about their future health care treatments in advance. Forms of advance directives are the living will, durable power of attorney for health care, and written or verbal advance directive. The incident report is a document that records errors of omission or commission as well as any unusual occurrence. The medication administration record does not address clients' treatment choices.

Answer to Question 2

2
The client from a non-English-speaking culture could have cultural limitations on the prescribed treatment. The best approach would be for the nurse to talk with the client about the treatment to find out why it is not being accepted. Discharging or transferring the client would not meet the client's health care or cultural needs. Asking the physician to prescribe a different treatment also does not meet the client's cultural needs.

[ssal]

TYSM

[marict]

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