Difficulty: Medium
Average Score: 87%
Simulated
A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states,I'm not taking any more medication. Which of the following actions should the nurse perform?
Correct answer
B
Rationale
Correct Answer: B
Rationale: Documenting the client's refusal of the medication in the medical record is the most appropriate action in this scenario. This ensures transparency and accountability in the client's care, as well as compliance with legal and ethical standards. It respects the client's autonomy and right to refuse treatment. Referring the case to the ethics committee (A) may be necessary in complex cases but is not the immediate action needed. Administering the medication by another route (C) without consent is unethical and can pose risks to the client. Informing the client that she cannot refuse the sedative due to involuntary admission (D) violates the client's rights and autonomy.
Rationale: Documenting the client's refusal of the medication in the medical record is the most appropriate action in this scenario. This ensures transparency and accountability in the client's care, as well as compliance with legal and ethical standards. It respects the client's autonomy and right to refuse treatment. Referring the case to the ethics committee (A) may be necessary in complex cases but is not the immediate action needed. Administering the medication by another route (C) without consent is unethical and can pose risks to the client. Informing the client that she cannot refuse the sedative due to involuntary admission (D) violates the client's rights and autonomy.