A patient on the high-acuity care unit has decided to accept the fact that they are terminally ill and forgo additional treatments for their disease. The patient has presented a valid living will
The family of the patient is not happy with the decisions made by the patient about the end-of-life care. They have asked the nurse to consider their feelings because their family member is acting this way as a result of feeling depressed. What response by the nurse is indicated? 1. "I must act as an advocate for your family member's wishes.".
2. "You can just go to the physician to have the plan of care changed.".
3. "Let's talk to the patient to see if we can get him to change his mind.".
4. "You just need to get on board for your family member's healthcare plan.".
1
Rationale: The nurse must act as an advocate for the patient and uphold their documented requests. Referring the family to the physician to overturn the plans is not correct. A conference, however, may be indicated. To encourage the family to try to change the family member's mind actually encourages them to pressure the patient at this serious time. This is not an action of a true patient advocate. Although the family members will not be able to change the plan of care this response is not emphatic or appropriate.
LO: 2-8. Discuss end-of-life issues to be considered in caring for high-acuity patients.
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