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NCLEX-PN Exam - Topic 2 Question 10 Discussion

The advanced directive in a client's chart is dated August 12, 1998.The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
C) follow the 2003 version, place it in the chart, and communicate the update appropriately.
A) follow the 1998 version because it's part of the legal chart.
B) follow the 1998 version because the physician's code order is based on it.
D) follow neither until clarified by the unitmanager.

NCLEX-PN Exam - Topic 2 Question 10 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 10
Topic #: 2
[All NCLEX-PN Questions]

The advanced directive in a client's chart is dated August 12, 1998.The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:

Show Suggested Answer Hide Answer
Suggested Answer: C

The document dated 2003 supersedes the previous version and should be used as a basis for care direction.

Choices 1 and 2 are incorrect because the 1998 version is now outdated. Choice 4 is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.Coordinated Care


by Shalon at Aug 17, 2025, 12:14 PM

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Sina
6 months ago
I agree, we need to clarify this with the unit manager first!
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Angelo
6 months ago
Wait, can we really ignore the older directive just like that?
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Annice
6 months ago
Definitely follow the 2003 version, it's more recent!
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Justine
7 months ago
I think the 1998 directive is still valid since it's in the chart.
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Kallie
7 months ago
The 2003 Power of Attorney should take precedence, right?
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Derick
8 months ago
What if neither document is clear? I feel like D could be a safe choice until we get clarification from the unit manager.
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Curtis
8 months ago
I think we practiced a similar question where the latest directive was prioritized. So, I’m leaning towards C, but I’m a bit uncertain.
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Micah
8 months ago
I'm not entirely sure, but I feel like the 1998 directive should still hold some weight since it's in the legal chart.
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Craig
8 months ago
I remember discussing how the most recent document usually takes precedence, so I think it might be C.
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Donte
9 months ago
Hmm, I'm not sure about this one. There could be some nuances I'm missing. I think I'll go with option D and get clarification from the unit manager before proceeding. Better safe than sorry.
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Isaiah
9 months ago
I'm pretty confident that the correct answer is C - follow the 2003 version, place it in the chart, and communicate the update appropriately. The newer power of attorney should supersede the older advanced directive.
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Alline
9 months ago
I'm a little confused on this one. The question mentions different care directions, so I'm not sure if I should just go with the newer document or try to reconcile the differences. I'll need to think this through carefully.
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Roy
9 months ago
Okay, I think the key here is to follow the most recent legal document, which is the 2003 power of attorney. That should take precedence over the older advanced directive.
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Stevie
9 months ago
Hmm, this is a tricky one. I'll need to carefully review the details of the advanced directive and power of attorney to determine the most appropriate course of action.
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Nancey
10 months ago
I'm with C too. Ain't no way I'm risking my job by following some outdated directive. Gotta go with the new legal document, plain and simple.
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Shelton
10 months ago
But what if the 2003 version has more recent and relevant care directions?
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Aracelis
10 months ago
Haha, imagine if we just ignored the new Power of Attorney and went with the old one. That would be a lawsuit waiting to happen! C is the clear choice here.
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Ryann
6 months ago
Always better to update and communicate changes.
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Nickolas
7 months ago
Can't believe some would stick to the old directive!
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Bronwyn
7 months ago
Definitely! Ignoring the new one would be risky.
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Micaela
7 months ago
C is the safest option for sure.
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Lorrie
11 months ago
I'd say C as well. The patient's daughter has the authority here, and we need to respect the updated instructions. Anything else would be negligent.
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Cathrine
11 months ago
Definitely C. The newer legal document supersedes the older one, no question. Gotta keep up with the changes, folks!
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Nadine
10 months ago
Absolutely, the newer document takes precedence. It's important to stay current with legal directives.
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Audry
10 months ago
C) follow the 2003 version, place it in the chart, and communicate the update appropriately.
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Paz
11 months ago
I think we should follow the 1998 version since it's in the client's chart.
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Apolonia
11 months ago
I'd go with C. The updated Power of Attorney should take precedence, even if it's not the original chart document. Better to communicate the change properly than risk following outdated directives.
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Jin
10 months ago
A) follow the 1998 version because it's part of the legal chart.
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