QuestionAugust 22, 2025

5. Which situations would prompt the health care team to use the client's advance directive to make a decision regarding care? Select all that apply. Select one or more: a. Client's Glasgow coma scale (GCS) score is 3 b. Client diagnosed with lumbar spinal cord compression has paraplegia D c. Client is refusing a life-saving treatment due to religious beliefs d. Oriented client has cancer and is on a ventilator D e. Client with intracerebral hemorrhage has aphasia

5. Which situations would prompt the health care team to use the client's advance directive to make a decision regarding care? Select all that apply. Select one or more: a. Client's Glasgow coma scale (GCS) score is 3 b. Client diagnosed with lumbar spinal cord compression has paraplegia D c. Client is refusing a life-saving treatment due to religious beliefs d. Oriented client has cancer and is on a ventilator D e. Client with intracerebral hemorrhage has aphasia
5. Which situations would prompt the health care team to use the client's advance directive to make a decision regarding care?
Select all that apply.
Select one or more:
a. Client's Glasgow coma scale (GCS) score is 3
b. Client diagnosed with lumbar spinal cord compression has paraplegia
D c. Client is refusing a life-saving treatment due to religious beliefs
d. Oriented client has cancer and is on a ventilator
D e. Client with intracerebral hemorrhage has aphasia

Solution
3.8(173 votes)

Answer

a. Client's Glasgow coma scale (GCS) score is 3 Explanation 1. Identify situations where decision-making capacity is impaired An advance directive is used when a client cannot make decisions. A GCS score of 3 indicates deep unconsciousness, impairing decision-making (option a). 2. Consider refusal of treatment due to beliefs If a client refuses treatment due to religious beliefs but is otherwise oriented and capable, an advance directive isn't needed (option c). 3. Evaluate other conditions Paraplegia (option b) and aphasia (option e) do not necessarily impair decision-making capacity. An oriented client on a ventilator (option d) can still make decisions.

Explanation

1. Identify situations where decision-making capacity is impaired<br /> An advance directive is used when a client cannot make decisions. A GCS score of 3 indicates deep unconsciousness, impairing decision-making (option a).<br /><br />2. Consider refusal of treatment due to beliefs<br /> If a client refuses treatment due to religious beliefs but is otherwise oriented and capable, an advance directive isn't needed (option c).<br /><br />3. Evaluate other conditions<br /> Paraplegia (option b) and aphasia (option e) do not necessarily impair decision-making capacity. An oriented client on a ventilator (option d) can still make decisions.
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