Leadership / Delegation Question #7
A client in the hospital is diagnosed with end-stage pancreatic cancer and requested a “do not resuscitate” (DNR) order after talking the nurse and health provider. The client’s daughter approached the nurse requesting full code status. What is the nurse’s responsibility in this situation?
- Contact the social worker to intervene.
- Explain to the client the daughter has durable power of attorney for health decisions.
- Honor the request of the client.
- Meet with interdisciplinary staff to perform “slow code” until a mutual decision is made.
The client requests the right for DNR through self-determination and autonomy. The family may not revoke such right to DNR and the nurse and staff must honor the request of the client. Answer A is incorrect; although social workers are called to explain the process to families and clients. Answer B is incorrect since nothing in the question indicates the daughter has any health decision duties, and even so, the client’s wishes supersede. Having collaborative “slow code” is condemned which makes answer D incorrect.