- Assume the team knows best and remain silent.
- Inform the family and let them handle it.
- Act as a patient advocate to ensure the patient's autonomous wishes as expressed in the advanced directive are honored.
- Document the discrepancy but take no further action.
A nurse identifies that a patient’s advanced directive, which outlines specific wishes for end-of-life care, is not being followed by the medical team due to miscommunication or oversight. The patient is no longer able to advocate for themselves. What is the nurse’s ethical duty?
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