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An advance directive must include information stating that:

  1. The patient agrees to all healthcare recommendations

  2. The patient acknowledges healthcare that is refused in the directive

  3. The patient is waiving their right to consent

  4. The patient must consult a lawyer

The correct answer is: The patient acknowledges healthcare that is refused in the directive

An advance directive is a legal document that allows individuals to outline their preferences for medical treatment in situations where they may be unable to communicate their wishes. It is essential for such a document to include information that explicitly acknowledges the healthcare that the patient has chosen to refuse. This is important because it provides clarity to healthcare providers regarding the patient's wishes and ensures that their autonomy is respected. By stating what healthcare treatments are refused in the directive, it enables the medical team to understand the limits of care the patient is willing to accept or reject. This can prevent unwanted interventions and align future medical decisions with the individual’s values and preferences. It reinforces the principle of informed consent, where healthcare decisions should reflect the desires of the patient, even in situations where they cannot speak for themselves. In contrast, while agreeing to all healthcare recommendations, waiving the right to consent, or needing to consult a lawyer may involve other legal or ethical considerations, they do not encapsulate the core purpose of an advance directive, which is to communicate specific healthcare preferences—especially refusals of particular treatments.