Upon completing a review of a 27-year-old client’s admission documents, the nurse identifies that the client does not have an advance directives. What action should the nurse take?
A. Lecture the client on the importance of having advance directives.
B. Advance directives are not appropriate for this client due to the client’s age.
C. Refer this issue to the client’s health care provider.
D. Inform the charge nurse to offer information about advance directives.
Answer
D. Inform the charge nurse to offer information about advance directives.
Correct Response
For every admission, the nurse should check if the client has advance directives and if yes, that a copy of the current advance directive is in the medical record. If there are none, the nurse should inform the appropriate interdisciplinary team member to provide information to the client. In most health care settings, nurses, social services, case managers or the spiritual support team can educate clients on advance directives, including helping them complete an advance directive. Every adult client should have advance directives. The client is 27-years-old and is therefore considered an adult.
B
A
C
A
1
B