A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which nursing action is indicated?
1. Tell the patient that he cannot change is mind or treatment plan.
2. Change the patient's classification in the medical record.
3. Contact social services to discuss the change in plans.
4. Contact the health care provider for the patient to discuss the patient's decision.
4
Rationale 1: Advance directives can be changed as the individual's needs and goals change.
Rationale 2: Simply changing this classification will not result in wide dissemination of the decision.
Rationale 3: There is no reason to contact social services.
Rationale 4: The patient should discuss this change with the health care provider.
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