A nurse is providing teaching to a client who has diabetes mellitus about the glycosylated hemoglobin blood test. Which of the following statements by the client indicates an understanding of this test?

A) Ensuring that the client's family supports the provider's decision for surgery is important, but it is secondary to confirming that the healthcare surrogate is informed about the risks and benefits. The family’s emotional support is valuable, but informed consent is paramount.

B) Determining if the client's health care surrogate is aware of the risks and benefits of the procedure is crucial. Since the client is in a coma and unable to provide informed consent, the surrogate must be fully informed to make appropriate decisions regarding the client's care. This ensures that the rights and wishes of the client are upheld.

C) Sending the unsigned informed consent form to the facility's risk manager may be a procedural step in some situations, but it does not directly address the immediate need for informed consent or ensure that the healthcare surrogate understands the implications of the procedure. This action can be part of post-decision documentation but is not the first priority.

D) Determining if the procedure is medically necessary is important; however, the immediate concern is ensuring that informed consent is obtained from the health care surrogate. Understanding the necessity of the procedure can be part of the discussion with the surrogate but does not replace the need for informed consent.

A. "Do you need information on hospice care?" While hospice care is important for terminally ill patients, this question may not directly address the client's feelings of depression or their immediate emotional needs.

B. "Do you need a prescription for an antianxiety medication?" This statement may not be appropriate at this time, as it suggests a focus on medication rather than exploring the client's feelings. It’s important to first assess the client’s emotional needs and discuss therapy options.

C. "Would you like to talk to a counsellor about advance directives?" This question shifts the focus from the client's feelings of depression to advance care planning, which may not be the most relevant topic at this moment.

D. "Would you like to speak to a spiritual advisor?" This statement acknowledges the client's emotional state and offers a supportive option for exploring feelings of depression, which can be beneficial for those facing terminal illness. Spiritual support can provide comfort and help the client process their emotions during this difficult time.