Examkin

Soru

Zorluk: OrtaEthical Practice

A competent adult client admitted with an acute exacerbation of heart failure abruptly demands to leave the facility against medical advice (AMA) to care for a pet at home. The client's attending provider is currently unavailable. Which action by the nurse demonstrates appropriate ethical and legal practice?

  1. Explore the client's concerns, explain the clinical risks of leaving without treatment, and provide the AMA paperwork.Cevap
  2. B
    Instruct the unlicensed assistive personnel (UAP) to remain with the client and explain the medical necessity of staying in the hospital.
  3. C
    Administer a prescribed as-needed (PRN) dose of lorazepam to reduce the client's anxiety and delay their departure until the provider arrives.
  4. D
    Reassure the client by stating, "Your pet will be completely fine, but you really must stay because your heart is too weak right now."

Cevap

The correct answer is to explore the client's concerns, educate them about the clinical risks of leaving, and provide the AMA paperwork.
The correct choice upholds the ethical principle of autonomy by recognizing the competent adult client's right to refuse treatment. Exploring the client's concerns allows the nurse to advocate for potential alternative solutions (e.g., having a social worker arrange pet care), while explaining the clinical risks ensures the client's decision is fully informed before providing the AMA paperwork.

Adım Adım Çözüm

1
Assess the client's capacity and underlying motivation.
The nurse identifies the root cause of the client's distress (worry over a pet).
Understanding the client's concern allows the healthcare team to advocate for the client and potentially resolve the barrier to treatment without violating autonomy.
2
Provide clear education regarding the risks of refusing treatment.
The client is fully informed about the potential health consequences (e.g., worsening heart failure, death) of leaving.
To make a legally and ethically sound autonomous decision, a competent client must possess informed knowledge of the risks and benefits.
3
Facilitate the Against Medical Advice (AMA) process if the client insists on leaving.
The client signs the AMA form and leaves the facility.
Competent adults have the legal and ethical right (autonomy) to refuse medical treatment, even if the healthcare team disagrees with the decision.

Anahtar Kavram

Client Autonomy, Informed Decision-Making, and Against Medical Advice (AMA)
Bu soruyu puanla

Konular

Ethical Practice

Bu konudan daha fazla soru