An alert, oriented, and independently mobile resident in a skilled nursing facility tells the practical nurse (PN), "I am packing my bags. I am leaving this place today to move in with my sibling." The resident's adult child recently instructed the staff, "Do not let my parent leave the building under any circumstances." Which action is most appropriate for the PN to take?
- Acknowledge the resident's right to leave and immediately notify the charge nurse and healthcare provider.Cevap
- BPlace the resident in a specialized chair near the nurses' station to safely monitor their movements.
- CCall the adult child immediately to report the resident's plans to leave the facility.
- DPerform a comprehensive psychological assessment to determine if the resident has the capacity to leave.
Cevap
The correct action is to acknowledge the resident's right to leave and notify the charge nurse and healthcare provider.
A competent adult client retains the right to self-determination, which includes the right to leave a healthcare facility against medical advice. Family members cannot legally override a competent client's autonomy. The practical nurse advocates for the client by acknowledging their decision and acts within their scope of practice by promptly notifying the charge nurse and healthcare provider, who will discuss the implications of leaving with the client.
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Anahtar Kavram
Client Autonomy and the Right to Refuse Care