NCLEX-RNManagement of CareHard

A client is unconscious following a traumatic injury and unable to make healthcare decisions. A durable power of attorney for healthcare document on file names the client's sister as the designated decision-maker. The client's spouse, who lives with the client, arrives and insists on making all treatment decisions instead. Which action should the nurse take?

  1. ADelay all treatment decisions until the spouse and sister reach agreement
  2. BSupport the sister as the decision-maker since she is the legally designated healthcare proxy per the advance directive
  3. CAsk the healthcare team to decide which family member seems more appropriate
  4. DFollow the spouse's instructions because a spouse is legally considered next of kin
Show answer & explanation

Correct answer: B. Support the sister as the decision-maker since she is the legally designated healthcare proxy per the advance directive

A durable power of attorney for healthcare legally designates a specific person to make decisions when the client is incapacitated, and this designation supersedes default next-of-kin hierarchies, including a spouse. The nurse's role is to advocate for the client's legally documented wishes by supporting the designated proxy's authority.

Why the other options are wrong

  • A. Delaying care can harm the client; the legal proxy's authority should be recognized promptly.
  • C. The care team should not subjectively choose a decision-maker when a legal document already specifies one.
  • D. Spousal next-of-kin status does not override a legally executed healthcare power of attorney naming someone else.

Healthcare Power of Attorney Authority

A durable power of attorney for healthcare legally designates a specific decision-maker for an incapacitated client, and this designation takes precedence over default next-of-kin, including a spouse.

  • POA document names decision-maker in advance
  • Overrides typical next-of-kin hierarchy
  • Nurse advocates for the client's legal designation
  • Family disagreement does not change legal authority

Memory trick: The document names the voice—follow the paper, not the pressure.

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