A 73-year-old patient with bipolar disorder tells the nurse, "No one will take care of me the way I want when I get older. I can't make sure I don't get treatment I don't want." Which is the best response by the nurse?
1. Suggest that he see a lawyer to make a will.
2. Assist him with creating an advanced directive.
3. Suggest that he tell his family members what he wants.
4. Assure him that the health care system will care for him well.
Answer: 2
Explanation: Individuals who were diagnosed with a psychiatric disorder as adults and who were able to manage it appropriately may experience increased difficulty in older adulthood. It is important for these patients to establish advance directives, including a psychiatric advance directive that details the patient's preferences related to psychiatric care. A will does not specify care choices. Telling his family members does not provide any legal safeguards for his choices. Without an advanced directive, the health care system will not necessarily follow the patient's preferences.
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