A nurse is admitting a client who tells the nurse they have brought a copy of their advance directives. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Advance directives are legal documents that represent the client’s own wishes regarding healthcare decisions. They do not require confirmation from a partner or family member unless there is uncertainty about validity, and even then, legal documentation takes precedence over verbal confirmation. B. The nurse’s priority action is to ensure that the advance directives are included in the client’s medical record so that the entire healthcare team is aware of the client’s wishes. This supports continuity of care and ensures that treatment decisions align with the client’s documented preferences. C. Advance directives can be changed or revoked by a competent client at any time. Informing the client otherwise is false and violates patient autonomy. D. While a social worker may assist in clarifying or discussing advance directives, the nurse’s immediate priority is to ensure the document is properly placed in the medical record so it is available to guide care.