A competent adult client informs the nurse of their decision to refuse a recommended medical procedure. Which of the following nursing actions appropriately uphold the ethical principle of autonomy? Select all that apply.
- Asking open-ended questions to understand the client's rationale for the refusalAnswer
- Verifying that the client comprehends the potential health risks of declining the procedureAnswer
- Communicating the client's decision promptly to the prescribing healthcare providerAnswer
- DOffering personal advice to the client about why they should reconsider their choice
- EDocumenting that the refusal is based on cultural beliefs without performing an individualized assessment
Answer
The correct actions include asking open-ended questions to understand the client's reasoning, verifying their comprehension of the risks, and communicating their decision to the provider.
Autonomy is the ethical principle that recognizes a client's right to self-determination and independent decision-making. Actions that uphold this principle involve providing the client with necessary information to make informed choices, assessing their understanding without judgment, and advocating for their decisions with the healthcare team. Asking open-ended questions, verifying comprehension of risks, and notifying the provider all directly support the client's autonomous choice.
Step-by-Step Solution
Key Concept
Autonomy in nursing practice