A nurse is admitting a client who has not completed an advance directive. What is the nurse's priority action?

A. Document in the medical record that the client refused to complete an advance directive: While documentation is important, it is not the priority action. The nurse should first provide education and offer support to help the client make an informed decision before noting refusal.

B. Provide the client with written information about advance directives and offer assistance: Educating the client about advance directives respects autonomy and promotes informed decision-making. Providing resources and guidance ensures the client understands their rights and options, making this the priority action.

C. Inform the client that completing an advance directive is mandatory: Advance directives are voluntary; requiring completion violates legal and ethical standards. The nurse’s role is to inform and support, not coerce.

D. Ask the client's family to complete the forms on their behalf: Family involvement may be appropriate only if the client is unable to make decisions. Without the client’s consent, this action undermines autonomy and legal rights. Education and voluntary completion should come first.

A. Safety needs involve financial security, employment stability, health, and protection from loss. Concern about job security reflects fear of losing income and the ability to meet basic life demands. Chronic illness can threaten these protective resources, placing this concern within the safety level.

B. Physiological needs focus on basic survival requirements such as oxygen, food, water, elimination, and sleep. While employment supports these needs indirectly, worry about job security itself is not a direct physiological requirement. The concern goes beyond immediate physical survival.

C. Esteem needs relate to self-worth, confidence, achievement, and respect from others. Job security may influence self-esteem, but the primary issue expressed is fear of financial and life stability. This aligns more closely with protection and security rather than self-respect.

D. Love and belonging needs include relationships, social connections, family support, and intimacy. The patient’s concern centers on employment and financial stability rather than social relationships. There is no indication of threatened attachment or social isolation in the scenario.