A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority?

Choice A reason: Initiating topics of conversation that avoid the client's health status is not an appropriate intervention. The nurse should respect the client's wishes and preferences regarding the communication of their condition. The nurse should also provide emotional support and information as needed.

Choice B reason: Recommending the client seek out hospice services rather than seek treatment is not an appropriate intervention. The nurse should not impose their own values or beliefs on the client's decision-making process. The nurse should also respect the client's autonomy and right to self-determination.

Choice C reason: Providing quiet time during visits for prayer or meditation is an appropriate intervention. The nurse should acknowledge and support the client's spiritual needs and practices. The nurse should also facilitate the client's access to spiritual resources and counselors.

Choice D reason: Placing the client's name and medical condition on an online prayer chain is not an appropriate intervention. The nurse should protect the client's privacy and confidentiality and obtain their consent before sharing any personal information. The nurse should also respect the client's cultural and religious diversity and avoid any assumptions or stereotypes.

Choice A reason: This statement is true and relevant. Advance directives are legal documents that allow the client to express their wishes and preferences regarding their health care in case they become unable to communicate or make decisions. They ease the difficult decisions faced by those involved in the client's care, such as family members, health care providers, and legal representatives.

Choice B reason: This statement is false and misleading. Advance directives do not decrease the potential for receiving palliative care, but rather enable the client to choose whether they want to receive it or not. Palliative care is a type of care that focuses on relieving pain and suffering and improving quality of life for clients with serious or terminal illnesses.

Choice C reason: This statement is partially true, but not the best answer. Advance directives help to uphold the ethical principle of veracity, which means telling the truth and respecting the client's autonomy and dignity. However, advance directives also help to uphold other ethical principles, such as beneficence, nonmaleficence, and justice.

Choice D reason: This statement is false and misleading. Advance directives do not detail the doctor's decisions about the client's end-of-life care, but rather detail the client's own decisions and preferences. The doctor's role is to respect and follow the client's wishes as much as possible, unless they conflict with the law or profession