A nurse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her adult daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

A) "I respect your right to choose to discontinue treatment."

While this statement acknowledges the client's autonomy and right to make decisions about their care, it does not directly address the nurse's commitment to honesty or transparency in discussing hospice care.

B) "I will have a hospice nurse come discuss this kind of care with you."

While involving a hospice nurse is a supportive action, it does not directly demonstrate the nurse's commitment to honesty or openness in discussing hospice care with the client.

C) "I will answer any questions you have about hospice care honestly."

This statement demonstrates veracity by explicitly stating the nurse's commitment to providing truthful and accurate information about hospice care. It reassures the client that they can trust the nurse to provide honest answers to their questions.

D) "I work with hospice services to help you transition to their care."

While this statement indicates the nurse's involvement in facilitating the transition to hospice care, it does not specifically address the nurse's commitment to honesty or truthfulness in discussing hospice care with the client.

A) Medication administration record:

While the medication administration record (MAR) is an essential component of the client's medical records and care plan, it may not be directly relevant to the transfer report between healthcare facilities. The MAR typically remains with the client's medical records and is not routinely included in transfer reports. However, information about the client's current medications and any changes in medication regimen may be communicated as part of the transfer report.

B) Name of facility social worker:

While the name of the facility's social worker may be important for ongoing coordination of care and support services, it is not typically included in the transfer report between healthcare facilities. Communication between social workers may occur separately as part of the transition planning process, but it is not a standard component of the transfer report.

C) Need for special equipment:

When transferring a client from one healthcare setting to another, such as from an acute care unit to a long-term care facility, it is crucial to communicate any specific needs or requirements the client may have, including the need for special equipment. This information ensures that the receiving facility is adequately prepared to meet the client's needs upon arrival and can arrange for the necessary equipment or resources to be available. Examples of special equipment may include mobility aids (wheelchair, walker), assistive devices (hearing aids, oxygen concentrators), or specialized medical equipment (wound care supplies, catheters).

D) Health insurance information:

Health insurance information, including details about the client's coverage, billing, and insurance provider, is essential for financial and administrative purposes but may not be directly relevant to the transfer report between healthcare facilities. However, if specific insurance requirements or authorizations are necessary for the client's care at the receiving facility, this information should be communicated as part of the transfer process.