Author Question: The nurse understands the implications of the Patient Self-Determination Act. This legislation ... (Read 23 times)

Chelseaamend · **on:** Jul 23, 2018

The nurse understands the implications of the Patient Self-Determination Act. This legislation requires that:

1. Clients designate a power of attorney
2. DNR orders for clients meet standard criteria
3. Organ donation is required upon death, if possible
4. Information be provided to the client regarding rights for refusal of care

Question 2

Which one of the following individuals may legally give informed consent?

1. A 16-year-old for her newborn child
2. A sedated 42-year-old preoperative client
3. The friend of an 84-year-old married client
4. A 56-year-old who does not understand the proposed treatment plan

abctaiwan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
The Patient Self-Determination Act requires health care institutions to provide written infor-mation to clients concerning the clients' rights under state law to make decisions, including the right to refuse treatment and formulate advance directives. The Patient Self-Determination Act does not require clients to designate a power of attorney. The Patient Self-Determination Act does not require that DNR orders meet standard criteria. The Patient Self-Determination Act does not require organ donation upon death. It is the client's decision whether he or she wants to participate in organ donation.

Answer to Question 2

ANS: 1
An emancipated minor, one who is below the age of 18 but who is a parent, can legally give in-formed consent for the care of her newborn. An emancipated minor can also be someone below the age of 18 who is legally married. A person who has been sedated cannot legally give in-formed consent. Consent should be obtained before a sedative is administered. If the 84-year-old client were unable to give consent, then the client's wife would be the person legally authorized to do so on the client's behalf. In order for a friend to be legally able to give consent, he or she would have to possess power of attorney or legal guardianship of the client. If a client does not understand the proposed treatment plan, the nurse must notify the physician or nursing supervisor and must make certain that clients are informed before signing the consent.