A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive. Which of the following statements by the client indicates that need for clarification?

A. "The health care proxy does not go into effect until I am incapable of making decisions." This statement accurately reflects the legal trigger for a durable power of attorney for health care. The proxy’s authority is dormant as long as the patient retains the clinical capacity to provide informed consent. This ensures patient autonomy is preserved until the medical team determines the patient is incapacitated. B. "If I become incapacitated, end-of-life choices will be made by my proxy." The health care proxy is legally empowered to make medical decisions that align with the patient’s known wishes or best interests. This includes decisions regarding the withdrawal or withholding of life-sustaining treatments during terminal illness. The client correctly understands that the proxy acts as their surrogate voice in clinical settings. C. "I have to choose a family member as my health care proxy." This statement is inaccurate and indicates a clear need for further nursing education and clarification. A health care proxy can be any competent adult, including a friend, domestic partner, or legal advisor, not strictly a biological or legal relative. The client is free to select whoever best understands their personal values and healthcare goals. D. "I can change who I designate as my health care proxy at any time." Advance directives are not static documents and can be revoked or amended as long as the client remains competent. It is standard practice to encourage clients to review their proxy designations periodically or after major life events. This understanding ensures the client maintains control over who represents their interests in the future.