A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take?

Rationale: A. Incident reports are used for unusual events, errors, or patient safety concerns, not for resolving ethical conflicts between advance directives and family wishes. This situation is an ethical and legal issue, not a reportable safety incident. B. While legal consultation may ultimately be involved, the nurse’s role is not to direct the family to legal action. This approach escalates conflict prematurely and does not address the immediate ethical dilemma within the healthcare team. C. When there is a conflict between a client’s advance directives and family wishes, the appropriate action is to involve the facility’s ethics committee. The committee helps guide resolution by reviewing the legal rights of the client, honoring patient autonomy, and supporting the healthcare team and family in making ethically appropriate decisions. D. The client’s advance directives are legally binding and reflect the client’s autonomous wishes. The nurse must advocate for the client’s expressed wishes, not override them based on family preference.