A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy.”. Which of the following actions should the nurse take?

Arrange for the client to speak with other clients who are undergoing the same therapy.

Tell the client that they cannot leave without a discharge prescription from their provider.

Explain to the client that no additional treatment will be provided if they choose to come back.

Ask the provider to speak with the client in person regarding their plan of care.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Speaking with other clients may inadvertently breach confidentiality. Additionally, client frustration with therapy often needs individualized attention to explore concerns, address misunderstandings, and rebuild trust.

Choice B rationale

Telling the client they cannot leave without a discharge prescription could infringe on their right to autonomy. Clients have the right to leave AMA (against medical advice) after understanding associated risks.

Choice C rationale

Informing the client that no additional treatment will be provided upon return is coercive and unprofessional. Healthcare professionals must maintain open access to care, even if the client initially refuses recommended therapy.

Choice D rationale

Having the provider discuss the care plan directly with the client can address misunderstandings about therapy and promote collaboration. This approach respects the client’s autonomy while clarifying potential risks of leaving.

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Correct Answer is A

Explanation

Choice A rationale

Autonomy supports the client’s decision-making capacity, allowing them to determine their care preferences, including discontinuing enteral feedings. Respecting autonomy aligns with ethical nursing practice, prioritizing the client’s informed choices and independence.

Choice B rationale

Fidelity relates to maintaining commitments and professional promises but does not directly address respecting client decisions regarding care. While trust is essential, autonomy is more applicable in this context.

Choice C rationale

Justice emphasizes fairness and equal treatment, which is vital in resource distribution and ethical practice. However, it does not directly pertain to honoring a client’s individual decisions.

Choice D rationale

Beneficence involves promoting the client’s well-being, which might conflict with their decision to discontinue treatment. Supporting autonomy takes precedence when clients make informed choices. .

A. The surgeon should delay surgery until he can obtain informed consent from a parent. B. The client's pediatrician can obtain implied consent. C. The surgeon can obtain informed consent from the client's adult cousin. D. The surgeon can proceed with the surgery by invoking implied consent.

Correct Answer is D

Explanation

Choice A rationale

Delaying surgery in an emergency violates the standard of care. When life-saving intervention is necessary, implied consent applies to act in the client’s best interests. Delaying for parental consent increases the risk of harm or mortality.

Choice B rationale

A pediatrician cannot grant consent in place of the legal guardians. Implied consent applies specifically to urgent situations where the client cannot consent, and the delay to contact a surrogate is not feasible.

Choice C rationale

A relative other than a parent or legal guardian cannot provide consent unless legally appointed. Emergency situations follow implied consent protocols when legal surrogates are unavailable. Proceeding with life-saving care does not require seeking extended family approval.

Choice D rationale

Implied consent is a legal principle used in emergencies to authorize necessary treatment when a legal guardian or proxy cannot be reached. This ensures timely intervention to prevent harm, especially for minors unable to consent themselves.

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A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy.”. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings.The nurse responds by saying, "You have a right to refuse treatment.”. This response demonstrates which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately.The staff cannot reach either of the client's parents.The nurse should identify that which of the following is true about obtaining consent?

Correct Answer is D

Explanation

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