A licensed practical/vocational nurse (LP/VN) acts as a client ...

[lidoalex]

A licensed practical/vocational nurse (LP/VN) acts as a client advocate by discussing end of life issues with the client who has a terminal illness and does not have any advanced directives.
 
  The client asks the nurse what is an advanced directive and how can I get one? The best response for the nurse is, an advanced directive:
  A) describes what you want done if you stop breathing and your heart stops, and I can have the client representative visit you and help you make one.
  B) is a statement of whom you trust and want to manage your care in the event that you are unable to do so, and I can have the client care representative visit and help you make one.
  C) describes your preferences for care should you become incapacitated, and I can have the client care representative visit you and help you make one.
  D) is a statement of what organs or tissues you want to be donated in the event that you die, and I can have the client care representative visit and help you make one.

Question 2

The Patient Protection and Affordable Care Act was signed into law on March 23, 2010. How can a nurse best contribute to a meaningful discussion about this piece of legislation with coworkers, friends, and family?
 
  A) Become informed about the provisions and implications of the law
  B) Refer people to the Department of Health and Human Services Web site
  C) Collect stories about Americans who have been unable to afford necessary health care
  D) Distribute copies of the legislation to individuals who are interested

[lin77x]

Answer to Question 1

Ans: C
Feedback:
All 50 states have laws that allow people to write an advanced directive or a living will that specifies their health care preferences if they are incapacitated. The best description of advanced directives, a larger encompassing term for many different types of directives is answer C. Answer A is describing a do not resuscitate, which the client and physician would discuss and the physician would order. Answer B is describing a durable power of attorney for health care. Answer D is describing organ and tissue donation. The American Hospital Association provides a pamphlet, http://www.aha.org/content/13/putitinwriting.pdf which can be given to clients about advanced directives and it is links for free downloadable forms that hospitals use to help clients wanting to make advanced directives.

Answer to Question 2

Ans: A
Feedback:
Being informed is a vital prerequisite to a meaningful and thoughtful discussion of the Affordable Care Act. This is more beneficial than referring people to a Web site, sharing cautionary tales, or encouraging people to read the legislation itself.