Ace the ANCC Exam 2025 – Ignite Your Nursing Superpowers!

The correct choice highlights the importance of reassessing a patient's directives regarding end-of-life care in the context of terminal liver disease. This condition is characterized by a progressive decline in liver function that ultimately leads to a critically ill state, where patients may face life-threatening complications.

In such serious circumstances, clear communication about the patient's wishes for end-of-life care becomes essential, as the patient's condition can evolve rapidly. A patient with terminal liver disease may experience increased symptoms or worsening conditions that could alter their previously stated preferences. These may include changes in consciousness, involvement of pain management strategies, and discussions around resuscitation efforts.

In contrast, chronic kidney failure, while serious, can sometimes be managed with treatments like dialysis that may extend life without prompt reassessment of end-of-life care wishes. Acute respiratory distress syndrome could lead to critical care needs, but immediate treatment options may not necessitate a proactive reassessment of end-of-life care in the short term. Severe depression, while debilitating, focuses primarily on mental health treatment rather than directly correlating with end-of-life discussions unless it directly impacts decision-making capacity.

Reassessing a patient’s directives concerning end-of-life care, especially in terminal liver disease, ensures that their current needs, values, and preferences are respected