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NCLEX-RN (Registered Nurse) Practice Exam · Question

A 75-year-old client, who legally appointed their daughter as power of attorney for personal care, becomes confused and requires surgery. The daughter insists on delaying the surgery to get a second opinion, despite the surgeon stating it is urgent to prevent further complications. What is the nurse's responsibility?

When there is a conflict between urgent medical recommendations and the decision of a power of attorney for personal care, especially involving a client who lac

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Question: A 75-year-old client, who legally appointed their daughter as power of attorney for personal care, becomes confused and requires surgery. The daughter insists on delaying the surgery to get a second opinion, despite the surgeon stating it is urgent to prevent further complications. What is the nurse's responsibility?

Answer options:

  • Support the daughter's right to delay the surgery, as she holds power of attorney.
  • Proceed with preparing the client for surgery, as recommended by the surgeon. ✅ Facilitate a meeting between the daughter, surgeon, and an ethics committee member to resolve the conflict.
  • Document the daughter's refusal and notify legal services.

Correct answer: Facilitate a meeting between the daughter, surgeon, and an ethics committee member to resolve the conflict.

Explanation: When there is a conflict between urgent medical recommendations and the decision of a power of attorney for personal care, especially involving a client who lacks decision-making capacity, the nurse's role is to facilitate communication and involve appropriate resources like an ethics committee to resolve the conflict in the client's best interest.

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