During morning rounds on a medical-surgical unit, an alert and oriented adult client with severe anemia is informed that a blood transfusion has been prescribed. The client tells the practical nurse (PN), 'I cannot accept any blood products due to my religious beliefs, even if it means I will not survive.' The client's spouse becomes visibly upset and demands that the staff administer the blood anyway. Which of the following actions should the PN take? Select all that apply.
- Notify the supervising registered nurse and the healthcare provider immediately.Answer
- Record the client's exact verbal refusal in the electronic health record.Answer
- CEducate the client about the potential life-threatening consequences of refusing the prescribed treatment.
- Ensure the client's environment remains supportive of their personal and spiritual values.Answer
- EReassure the spouse that implied consent will apply if the client becomes unconscious.
- FQuestion the client about why they are prioritizing religious practices over their own survival.
Answer
The correct actions are to notify the supervising registered nurse and healthcare provider immediately, record the client's exact verbal refusal in the electronic health record, and ensure the client's environment remains supportive of their personal and spiritual values.
Competent clients have the fundamental right to refuse medical treatment, including life-saving interventions, based on personal or religious beliefs. The practical nurse's role is to advocate for the client's autonomy, ensure a supportive environment, document the exact refusal in the medical record, and immediately notify the RN and healthcare provider so the plan of care can be safely and legally addressed.
Step-by-Step Solution
Key Concept
Client Rights, Autonomy, and Refusal of Treatment