A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A. "My living will names my health care surrogate, who will be responsible for my medical expenses.": A health care surrogate is designated to make medical decisions if the client is unable, not to manage financial obligations. Advance directives focus on treatment preferences, so this statement reflects a misunderstanding of their purpose. B. "Having advance directives requires participation in organ donation.": Advance directives do not require organ donation. Organ donation is a separate legal decision and can be indicated independently of advance directives. Associating the two shows a misconception about advance directive requirements. C. "Advance directives are not legally enforceable unless signed by an attorney.": Advance directives are legally recognized when properly witnessed or notarized, depending on state law, but do not require an attorney’s signature. This statement overstates the legal requirements, indicating incomplete understanding. D. "My advance directives communicate my decision to remain on a breathing machine.": Advance directives allow clients to express treatment preferences, including life-sustaining interventions. This statement demonstrates accurate understanding that advance directives guide health care decisions when the client cannot communicate.