Do not resuscitate (DNR) orders are legally separate from advance directives.

The client missed his follow-up appointment:This information is relevant to the client's care, indicating a missed appointment and potential need for rescheduling or follow-up.

The client stopped taking his medications: This is crucial information about the client's medication adherence, which can impact their health outcomes and treatment plan.

The client refused to go to therapy: Documenting the client's refusal of therapy is essential for continuity of care and ensuring that the healthcare team is aware of the client's decisions regarding their treatment.

The nurse thinks the client is hostile: Documenting the nurse's personal opinion about the client being hostile is not appropriate in the client's chart. Objective, observable behaviors should be documented, but subjective judgments or personal opinions about the client's demeanor or attitude should not be included in the chart. It is important to maintain professionalism and objectivity in documentation.

The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status: This statement is partially correct. Advanced directives may include naming a healthcare proxy or DPOAHC, but their decisions are typically in line with the client's expressed wishes, especially if those wishes are documented in the advanced directive.

The document means nothing to the nurse because the attending physician will decide the client's care: This statement is incorrect. Advanced directives are legally binding documents that guide medical decisions when the client is unable to communicate or make decisions.

The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated: This statement is true. Advanced directives empower clients to make decisions about their healthcare preferences, including the desire for life-sustaining measures, in the event they become unable to communicate their wishes.

The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates: This statement is incorrect. The nurse should always follow appropriate protocols and initiate necessary interventions regardless of the presence of advanced directives, especially if the client's condition deteriorates.