Which of the following is NOT a type of advance directive?

Choice A rationale
Recognizing cultural preferences is important, but it does not demonstrate the use of the Self- Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice B rationale
Performing all tasks independently does not align with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.
Choice C rationale
Calculating intake and output accurately is important, but it does not demonstrate the use of the Self-Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice D rationale
Encouraging autonomy by allowing the client to feed themselves is the correct answer. This action aligns with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.

Choice A rationale
Contacting the patient’s family for approval before resuscitation is not appropriate when there is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that indicates the patient’s wish not to undergo resuscitation in the event of cardiac or respiratory arrest.
Healthcare providers must respect this order and not seek additional approval from family members.
Choice B rationale
Respecting the order and refraining from initiating resuscitation is the correct action when there is a DNR order. This legal document reflects the patient’s decision to forgo resuscitation efforts, and healthcare providers are obligated to honor this decision to respect the patient’s autonomy and wishes.
Choice C rationale
Ignoring the order and proceeding with resuscitation is a violation of the patient’s rights and wishes. A DNR order must be followed to ensure that the patient’s preferences are respected, and disregarding it can lead to legal and ethical consequences.
Choice D rationale
Implementing the order only if the patient is in the ICU is incorrect. A DNR order applies in all healthcare settings, not just the ICU. Healthcare providers must follow the DNR order regardless of the patient’s location within the healthcare facility.