A client admitted to a medical-surgical unit with pneumonia informs the nurse that they want to cancel their scheduled bronchoscopy and go home. Shortly after, the client's sibling approaches the nurses' station asking for an update on the client's condition. Which actions should the practical nurse take to uphold client rights and maintain confidentiality? (Select all that apply)
- Notify the registered nurse and healthcare provider about the client's decision to cancel the procedure.Answer
- BExplain the specific medical risks of canceling the bronchoscopy to ensure the client understands the consequences.
- Check the electronic health record to verify if the sibling is authorized to receive medical information.Answer
- DDiscuss the client's intention to leave against medical advice with the charge nurse while standing in the hallway.
- Close the privacy curtain and speak softly when assessing the client's reasons for wanting to leave.Answer
- FAsk the client, "Why do you want to leave the hospital when the treatment is necessary for your recovery?"
Answer
The correct actions are notifying the healthcare team of the client's refusal, verifying the sibling's authorization in the medical record before sharing information, and closing the privacy curtain to discuss the client's concerns confidentially.
Upholding client rights in this scenario requires a multi-faceted approach: respecting the client's autonomy to refuse treatment by notifying the provider, ensuring confidentiality by verifying the sibling's access rights, and utilizing physical privacy measures when discussing sensitive concerns. These actions keep the practical nurse firmly within their scope of practice while actively advocating for the client.
Step-by-Step Solution
Key Concept
Client Rights, Confidentiality, and Practical Nurse Scope of Practice