A competent terminally ill client has completed a living will that expresses the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive
Which of the following actions by the nursing staff is most appropriate when family members share with staff that they are not supportive of the client's decision? 1. Facilitate a discussion regarding the directives between the client and family.
2. Contact the social services department to revisit the issue with the client.
3. Clarify the legality of the document with the hospital attorney.
4. Explain to the family that the conflict with the client's wishes could invalidate the document.
Facilitate a discussion regarding the directives between the client and family.
Rationale: Facilitating a discussion regarding the directives between the client and family is the correct option since it allows for discussion of the client's wishes with all interested parties being present. The client is competent, so his or her directives will take priority. It is not necessary to contact social services or the attorney. The client's living will is not invalidated by a conflict with the family's concerns.
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