Practice 35 Behavioral Nursing interview questions covering de-escalation, crisis response, and therapeutic communication.
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Kelly Burlison is an experienced healthcare and quality measurement professional with experience interviewing in the healthcare field focusing on IT.
Advanced directives are legal documents that outline an individual's wishes for how they would like their end-of-life care handled. Many individuals have advanced directives, not only to make their own wishes known, but also to take the burden off their loved ones when it comes time to make difficult decisions at the end of their lives. However, there are times when family members disagree with advanced directives or become emotional when their loved one begins passing away. They may put pressure on the nursing staff to provide care that runs counter to the patient's advanced directive. In this situation, it is important for the nurse to follow the patient's wishes, as documented in the advanced directive, despite any pressure they are getting from the patient's loved ones, while also helping the family understand the patient's end-of-life wishes. To effectively answer this question, you should indicate how you would provide care as documented in the advanced directive, and explain to the family why it was important for you to do so. A more successful answer would include a specific experience of when you dealt with such an experience in your nursing career.

Kelly Burlison is an experienced healthcare and quality measurement professional with experience interviewing in the healthcare field focusing on IT.
"Since my experience in my nursing career so far is in the outpatient environment, I have not yet dealt with such a situation. However, in this situation, I would have to follow the patient's wishes that are documented in the advanced directives, no matter how difficult or emotional it would be for the family. As a nurse, it is my ethical responsibility to follow the patient's documented wishes, just as I would want my wishes for end-of-life care followed, as well. But, I also think it is important to talk with family members before the patient gets to this point, if at all possible. This could allow for conversation to educate them about their loved one's wishes, in case they are unaware of them, so they can be prepared if and when the situation arises."

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Written by Kelly Burlison
35 Questions & Answers • Behavioral Nursing

By Kelly

By Kelly