Which is the primary focus of nurse run clinics?

The client's spouse: While the spouse may be a close family member and have significant input into the client's medical decisions, the ultimate authority for decisions like a DNR order rests with the client, assuming they are competent to make their own decisions.

The client's only child: Similar to the spouse, a child can have an emotional and supportive role in the decision-making process, but unless legally designated as the healthcare proxy or power of attorney for healthcare decisions, they do not typically have the legal authority to make decisions for a competent adult.

The client: In the context of medical decision-making, the principle of patient autonomy is fundamental. If the client is competent and capable of making decisions, their wishes and consent are paramount. In the case of a DNR order, it should be discussed thoroughly with the client, ensuring they understand the implications, risks, and benefits before making an informed decision.

Any close blood-related relative: In general, the authority to make medical decisions, including DNR orders, is not automatically granted to any blood-related relative. The client or their legally appointed representative (such as a healthcare proxy) usually holds this authority.

Doing no harm to clients: This is the correct definition of nonmaleficence. It means ensuring that healthcare providers do not cause harm intentionally or unintentionally to their patients.
Telling the truth to clients in all matters: While honesty and truthfulness (veracity) are important ethical principles, this statement does not directly define nonmaleficence. Nonmaleficence specifically emphasizes the prevention of harm, not just truth-telling.
Being faithful to commitments made to clients: Faithfulness and keeping commitments are aspects of fidelity, another ethical principle. It involves keeping promises and being loyal to patients. Although important, this does not capture the essence of nonmaleficence.
Determining the rights of clients: Protecting a patient's rights is crucial, but it is more aligned with the ethical principle of autonomy, where patients have the right to make decisions about their own healthcare. Nonmaleficence is specifically concerned with the prevention of harm.