A 76-year-old client with a diagnosis of Alzheimer's disease lives with an adult child. The child expresses struggling with the burden of providing for the client's increasing level of care. The nurse, who has been working with the client and family, has suggested adult day care as an option to be considered. When describing this setting, which information would the nurse include?

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer: This option prioritizes the client's well-being and demonstrates veracity by ensuring that the client receives necessary care. However, backdating the paperwork may still be considered unethical or fraudulent.

B. Refusing to backdate the paperwork because to do so would be considered untruthful: This option aligns with veracity by adhering to truthfulness and honesty. It acknowledges the ethical implications of backdating paperwork, even if it could benefit the client.

C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company: While refusing to backdate the paperwork may uphold honesty, it places the interests of the insurance company above those of the client, which may not align with ethical nursing practice.

D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy: This option prioritizes the client's well-being and demonstrates veracity by ensuring the client receives necessary care. However, it still involves an unethical action of backdating paperwork, which may have legal and professional consequences.

A. Whomever the client appointed will make medical decisions.

This choice reflects the principle of autonomy and respects the client's wishes as expressed in their living will. If the client has appointed a healthcare proxy or surrogate decision-maker in their living will, that individual would be authorized to make medical decisions, including providing consent for surgery, on behalf of the client. This option emphasizes the importance of honoring the client's preferences and autonomy in healthcare decision-making.

B. The client will always give consent to any procedure.

This choice is not accurate, particularly in situations where the client lacks decision-making capacity due to conditions such as Alzheimer's disease. If the client is unable to provide informed consent, the responsibility for decision-making may shift to a designated healthcare proxy or surrogate decision-maker as outlined in the client's living will. While the client's preferences and values should be considered, their ability to provide consent may be compromised by their medical condition.

C. The family will provide consent.

While family members may be involved in discussions about the client's care and may provide input, the ultimate responsibility for providing consent for medical procedures typically rests with the individual designated as the healthcare proxy or surrogate decision-maker in the client's living will. If the living will specifies a healthcare proxy, their role supersedes that of the family in decision-making regarding medical treatment.

D. A court-appointed conservator will be consulted.

In some cases where there is no living will or designated healthcare proxy, and the family is unable to reach a consensus on medical decisions, a court-appointed conservator may become involved to make decisions on behalf of the client. However, the involvement of a conservator is typically a last resort and may not be necessary if there is a living will specifying a healthcare proxy or surrogate decision-maker. The involvement of a conservator would be determined through legal proceedings and may not be the primary course of action in situations where the client's wishes are clearly outlined in a living will.