What should the nurse do in response?
A client with terminal breast cancer is being cared for by a long-time friend who's a physician. The client has identified her sister as the agent in her health care power of attorney. The client loses decision-making capacity, and the sister tells the nurse, "A different physician will be caring for my sister now. I've dismissed her friend."
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A. Inform the sister that she doesn't t have the authority to assign a different physician. B. Ask the dismissed physician if the client ever stated that she wanted a different physician. C. Abide by the wishes of the sister who holds the durable power of attorney. D. Politely ignore the sister's statement and continue to call the dismissed physician for orders.
A power of attorney is a document signed in front of a lawyer. Both parties are at the lawyer’s office and both parties must be of sound mind to sign the documents. When the power of attorney is signed, it would be used if the person is no longer of sound mind and can’t make decisions for himself or herself.
However, the only time the power of attorney can change is if another power of attorney is signed in the presence of a lawyer and the party is still of sound mind. In this case, the sister gets to make all of the decisions for her ailing sister.
It may seem that the ailing sister preferred for her friend to be her physician, but since a power of attorney was signed, the sister gets to make all of the decisions.
Abide by the wishes of the sister who holds the durable power of attorney.-rationale: a health care power of attorney transfers an individuals rights regarding health care decisions to the designated agent. its within the power of the sister to change the physician caring for the terminally ill client. the dismissed physician has no power to interfere with the wishes of the health care power of attorney. it would be inappropriate and unprofessional of the nurse to ignore the wishes of the clients agent.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 92.