An adult daughter says the parent has been asked repeatedly to complete an advance directive; however, he has neglected to do so. What should the nurse do first to facilitate this person completing an advance directive?

• A. Ascertain the person's religious belief surrounding death and dying
• B. Obtain a copy of the person's last will and testament
• C. Assess the older adult's attitudes about advance directives
• D. Determine if an attorney has been identified

Answer: (C)

Assessing the older adult’s attitudes about advance directives is the essential first step because understanding his beliefs, fears, and readiness guides how to approach the conversation in a respectful, autonomy-supporting way. By exploring what the patient thinks about planning for future medical care, the nurse can identify misconceptions, cultural or religious concerns, and knowledge gaps, then tailor information and timing to fit the patient’s comfort level. This foundation makes it more likely the patient will engage, ask questions, and consider options such as living wills or durable power of attorney for health care. Once attitudes and readiness are clarified, the nurse can provide clear explanations and support to facilitate completion.