hard · NCLEX-RN Management of Care
A 62-year-old client is admitted to the medical unit at 1500 in an unconscious state following an acute ischemic stroke. The client's partner presents a Durable Power of Attorney for Healthcare (DPOA) document that was legally executed in a neighboring state. The attending provider is hesitant to honor the partner's decisions, citing that the document is not from the local jurisdiction. Which of the following actions should the nurse take? Select all that apply.
- Honor the partner's decisions under the out-of-state DPOA in the interim, provided the document is valid on its face.
- Request that the partner obtain a local notary signature on the out-of-state document before any decisions are accepted.
- Facilitate a comprehensive advance directive review with the client if they regain consciousness and decision-making capacity.
- Advise the provider that out-of-state advance directives must be immediately discarded in favor of local intestate default laws.
- Consult with the hospital's risk management department or legal counsel to verify out-of-state document reciprocity.
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