The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary and cardiac resuscitation. The family expresses a concern that the patient may "change her mind." The nurse best reassures the family by stating
a. "The nursing staff will watch her very closely for any indication she has changed her mind."
b. "We will discuss her wishes with her reg-ularly."
c. "She can change her mind about any pro-vision in the document at any time."
d. "Your mother was very clear about her wishes when she signed the document."
A
AMD provisions appropriately provide that people can change their minds at any time and by any means. Nurses need to be alert to any indications from a patient. Based on the person's medical condition, subtle signs such as a gesture or a nod of the head may be easily overlooked. The patient may or may not be able to discuss her condition. Stating that the mother was very clear in her wishes does not take into account the fact that patients can change their minds any time.
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