A Client with Terminal Cancer Has Signed an Advance Directive

Multiple Choice

A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented.For several days the client has refused food and fluids,pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply.

A) Take the case to the hospital's ethics committee.
B) Honor the client's refusal of parenteral nutrition and hydration.
C) Talk to the healthcare provider so the family's wishes can be acted upon.
D) Help the family come to terms with the situation.
E) Honor the family's wishes and have them sign a consent form.