NCLEX-PN

Category - Coordinated Care

Which of the following is the role of the nurse when a client chooses to sign an advance directive?
  1. Ensure that all health care workers are aware of the presence of an advance directive
  2. Ensure that two witnesses are present, which should include the nurse and the attending physician
  3. Ensure confidentiality of the contents of the advance directives
  4. Ensure that the physician and the hospital administration dictate the advance directives
Explanation
Answer: A - Advance directives list the medical treatment that the client wishes to be done or not done if the client is unable to make a decision or becomes terminally ill. The nurse’s role involves ensuring that the client is provided with enough information about his or her care options and ensuring that all health care workers are aware of the directions of the advance directive. Generally, there should be two witnesses in order to execute the directive, neither of whom can be a relative or the physician. The nurse can act as one of the witness and must document the event accordingly.
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