A 78-year-old client with a terminal diagnosis is admitted to the hospital. The client has a living will specifying no resuscitation or life-extending measures, but the client's adult child insists on 'doing everything possible' in an emergency. What action should the nurse take to best honor the client's wishes?
Defer the decision to the healthcare provider to resolve the disagreement between the client’s living will and family member’s request.
Follow the family member’s wishes to avoid conflict and then consult with the healthcare provider.
Avoid engaging in a discussion about the living will and wait until an emergency arises to address the issue.
Ensure the living will is documented and accessible in the client's medical record, and discuss the legal implications with the family.
The correct answer is ensuring the client's advance directives are accessible and followed, as these express the client’s autonomy and legally binding wishes for their care. The living will supersedes family preferences. Educating family members about the legal and ethical significance of the client's choices can help address conflicts. Other options, such as disregarding advance directives or defaulting to healthcare provider discussions, fail to prioritize the client’s documented wishes.
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