Management of Care Practice Question

Question

The nurse is caring for a client with an advance directive and is focused on advance directives scenario 11. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Respect documented wishes and communicate them to the care team.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

B. Respect documented wishes and communicate them to the care team.

Explanation

The priority action for advance directives is to respect documented wishes and communicate them to the care team. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Management of Care
• Objective: advance directives

Practice more

Start Management of Care practice

Back to Management of Care