A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response?

A. The Institute of Medicine (now called the National Academy of Medicine) provides broad recommendations on healthcare practices, quality improvement, and patient safety. While their reports and guidelines can influence overall healthcare practices and policies, they do not provide specific, actionable guidelines on nursing procedures or scope of practice for individual procedures like chest tube removal.
B. The state nurse practice act is the most relevant resource for this policy. It defines the scope of practice for nurses within a particular state, including what procedures and tasks nurses are legally authorized to perform. Reviewing the state nurse practice act will ensure that the policy aligns with legal requirements and scope of practice regulations, which is critical for ensuring both compliance and safe practice.
C. The American Nurses Association (ANA) Standards of Practice provide a framework for the expectations and competencies required for nursing practice. While these standards can guide the development of policies and procedures, they focus on general standards of care rather than specific legal or procedural guidelines.
D. The ANA Code of Ethics provides ethical guidance for nurses' behavior and decision-making. However, it does not provide specific guidelines or legal parameters for performing specific procedures like chest tube removal.

A. While the oldest adult child may have durable power of attorney for health care, this authority only comes into play if the client is unable to make their own health care decisions. Since the client is oriented to person, place, and time, they are considered competent to make their own decisions.
B. The partner may have emotional and personal interests in the client's health care decisions, but legal authority to make health care decisions generally does not extend to the partner unless specifically designated in advance directives or legal documents. In the absence of such designations and if the client is competent, the partner does not have the legal authority to make decisions.
C. The provider’s role is to offer recommendations and information about the benefits and risks of treatment options. However, the provider does not have the legal authority to make health care decisions on behalf of the client, even if they recommend surgery or other treatments.
D. The client, being oriented to person, place, and time, is competent to make their own health care decisions. In such cases, the client’s wishes take precedence over any advance directives or powers of attorney, as long as they are able to understand and make informed decisions about their care.