A nurse is planning a community smoking cessation management program. Which of the following SMART goals should the nurse set for the client?

Choice A rationale
Implementing the order immediately without verifying is unsafe and can lead to errors. Nurses must ensure clarity and accuracy before carrying out any orders.
Choice B rationale
Writing down the order and reading it back to the physician is the correct action. This ensures that the order is understood correctly and reduces the risk of errors.
Choice C rationale
Asking the physician to repeat the order multiple times is unnecessary and can be seen as unprofessional. Writing down and reading back the order is a more effective method.
Choice D rationale
Ignoring the order if it seems unclear is not appropriate. Nurses have a responsibility to clarify any unclear orders to ensure patient safety.

Choice A rationale
An advance directive is a legal document that outlines a patient’s wishes regarding medical treatment in situations where they are unable to communicate their decisions. It includes instructions on life-sustaining treatments, resuscitation, and other medical interventions. This ensures that the patient’s preferences are respected and followed by healthcare providers.
Choice B rationale
A document that specifies the final arrangements for the patient is not an advance directive. Final arrangements typically refer to funeral and burial plans, which are not related to medical treatment decisions. Advance directives focus on medical care and treatment preferences.
Choice C rationale
A legal document that designates a person to make healthcare decisions for the patient is known as a durable power of attorney for healthcare or healthcare proxy. While this is an important component of advance care planning, it is not the same as an advance directive. An advance directive specifically outlines the patient’s treatment preferences.
Choice D rationale
A legal document that communicates the patient’s wishes regarding their care is a broader description that can include various types of advance care planning documents. However, the best description of an advance directive is a document that outlines the patient’s wishes regarding medical treatment.