A nurse is caring for a client who is seeking information about end-of-life decisions. According to the Patient Self-Determination Act, which of the following applies to medical decisions that can be made within organizations that receive Medicare and Medicaid reimbursements?

The Patient Self-Determination Act (PSDA) requires healthcare organizations receiving Medicare and Medicaid to inform clients of their right to make their own healthcare decisions, including the right to refuse treatment. Family members cannot override or change a competent client's advance directives. Clients can change or revoke advance directives at any time as long as they have decision-making capacity. Financial power of attorney covers financial decisions, not healthcare — a healthcare proxy or durable power of attorney for healthcare makes medical decisions.