The nurse understands the implications of the Patient Self-Determinati

The nurse understands the implications of the Patient Self-Determination Act. This legislation requires that:

1. Clients designate a power of attorney
2. DNR orders for clients meet standard criteria
3. Organ donation is required upon death, if possible
4. Information be provided to the client regarding rights for refusal of care

ANSWER

ANS: 4
The Patient Self-Determination Act requires health care institutions to provide written infor-mation to clients concerning the clients’ rights under state law to make decisions, including the right to refuse treatment and formulate advance directives. The Patient Self-Determination Act does not require clients to designate a power of attorney. The Patient Self-Determination Act does not require that DNR orders meet standard criteria. The Patient Self-Determination Act does not require organ donation upon death. It is the client’s decision whether he or she wants to participate in organ donation.