An older adult client with metastasized breast cancer informs the nurse that her doctor is insisting that she participate in a course of chemotherapy, even though the client does not want to have any further treatment. Which actions by the nurse exemplify
Select all that apply.
A) Tell the client that it is in her best interest to follow the doctor's advice.
B) Inform the doctor about the client's clear wishes not to have further chemotherapy.
C) Ascertain whether or not the client has an advanced care directive and, if not, assist her in creating one.
D) Discuss the implications of various choices with the client.
E) Avoid interfering in the doctor-patient relationship.
Answer: B, C, D
Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.
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