Difficulty: Medium
Average Score: 63%
Simulated
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Inform the client that they have the legal right to refuse treatment at any time. This is the appropriate action because it upholds the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal right to refuse treatment, the nurse respects the client's wishes and ensures they are fully informed. It also promotes a therapeutic relationship based on trust and respect.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (A) goes against their expressed wishes. Obtaining consent from a family member (B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (A) goes against their expressed wishes. Obtaining consent from a family member (B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making