A competent adult patient in the United States says, "I am leaving the hospital now," despite advice to continue treatment. Which action should the nurse take?
Correct answer: B. Explain risks, notify the provider, and document the discussion
- A. Ask security to prevent the patient from leaving
- B. Explain risks, notify the provider, and document the discussion
- C. Tell the patient that insurance will not pay for the stay
- D. Have a family member sign the discharge papers
Explanation
A competent adult may refuse continued treatment and leave against medical advice. The nurse explains foreseeable risks, notifies the provider, follows facility procedure, and documents the patient's decision and understanding.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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