Nurse R works on the geriatric medicine unit of the university hospital and provides care for numerous older adult clients nearing the end of life, many of whom have Do Not Resuscitate (DNR) orders
Which of the following situations is incompatible with the legal requirements for a DNR order? A) A client who is mentally competent has declared his wish to have a DNR order despite the availability of treatment options for his condition.
B) A client has expressed her desire to have a DNR order but her daughter is adamantly opposed to it.
C) A client clearly told the nurse her desire to have a DNR order, which the nurse documented and noted at the bedside.
D) A client has been in a coma and the family has decided to put in place a DNR order.
C
Feedback:
DNR orders require a written and signed order on the part of the physician. The possibility of positive health outcomes and opposition by family do not negate the wishes of a competent client, and incompetent clients may have the decision made by family.
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