A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
Explanation & Rationale
A. "You will need an attorney to appoint a health care surrogate": It is not necessary to involve an attorney to designate a health care surrogate. Most states allow clients to complete the form themselves using standardized documents, making it accessible without legal assistance. B. "You should appoint a family member as your health care surrogate": The surrogate does not have to be a family member; the client may choose any competent adult they trust to make health care decisions on their behalf. Emphasizing family only limits the client’s autonomy in selecting a trusted decision-maker. C. "Once you have completed a living will it cannot be changed": Advanced directives, including living wills, can be updated or revoked at any time as long as the client has decision-making capacity. This flexibility allows clients to adjust their wishes as circumstances or preferences change. D. "Your health care surrogate will make decisions on your behalf if you are unable": The primary role of a health care surrogate is to make medical decisions for the client when they lack the capacity to do so. This ensures that the client’s preferences and best interests are respected in situations where they cannot communicate their wishes.