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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