A Client with Terminal Cancer Has Signed an Advance Directive

question 2

Multiple Choice

A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented.For several days the client has refused food and fluids,pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply.

• A) Take the case to the hospital's ethics committee.
• B) Honor the client's refusal of parenteral nutrition and hydration.
• C) Talk to the healthcare provider so the family's wishes can be acted upon.
• D) Help the family come to terms with the situation.
• E) Honor the family's wishes and have them sign a consent form.

---

Definitions:

Today's Dollars

Today's Dollars refers to the value of money in terms of the present day's purchasing power, often used to account for inflation in financial calculations.

Profitability Index

A calculation that measures the ratio between the present value of future cash flows to the initial investment, used to assess the profitability of an investment.

IRR

The discount rate at which the net present value of all the cash flows from a project or investment equals zero.

Mutually Exclusive Investment

This refers to a situation in corporate finance where choosing one investment option prevents the selection of another due to constraints such as capital or projects serving the same purpose.