A patient asks, "What is an advance directive?" The nurse explains that examples of advance directives are: (Select all that apply.)
a. preserving cord blood for possible future needs of a child.
b. providing instructions that life-sustaining medical procedures should be withheld in the event of a terminal situation.
c. giving someone the legal right to act on one's behalf when one becomes incapacitated.
d. completing hospital admission paperwork before being admitted to the hospital.
ANS: B, C
Correct:
Advance directives document an individual's desires regarding end-of-life care. These wishes are generally stated through the execution of a formal document known as the living will. Right-to-die statutes vary from state to state; therefore, nurses must become familiar with their state-specific statute.
Incorrect:
a. Advance directives identify client wishes in terms of the right to die; they are not directives to help prevent illness or terminal illness.
d. Completing hospital paperwork is part of the preadmission process. The client could bring his or her living will to the hospital on admission, but this document would have been prepared prior to the admission and is not part of the hospital documentation paperwork.
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