A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.

B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.

C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.

D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.

A. "If you do not like your medications, would you like to try an alternative?" This response shifts focus away from the client's emotional state and does not validate their feelings.

B. "You feel like you have no remaining options and are struggling to find a solution." This response uses therapeutic communication by reflecting the client’s emotions, validating their feelings, and encouraging further discussion.

C. "Would you like to speak to a therapist after treatment?" While therapy may be beneficial, this response does not acknowledge the client's feelings in the present moment.

D. "You would like more information. I will get that for you right away." This response assumes the client is seeking information rather than expressing distress.