A patient who has capacity refuses a recommended treatment after the nurse explains its purpose and possible consequences. What should the nurse do?
Correct answer: C. Respect the refusal and document the discussion
- A. Arrange the treatment because it is clinically beneficial
- B. Ask the family to overrule the patient's decision
- C. Respect the refusal and document the discussion
- D. Continue persuading the patient until consent is obtained
Explanation
A person with capacity has the right to refuse treatment, even when the decision may result in harm. The nurse should respect the decision, ensure the patient has relevant information and document the discussion. Persistent pressure would not respect autonomy.
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About The NMC Code and Professional Accountability
The NMC Code is organised around prioritising people, practising effectively, preserving safety, and promoting professionalism and trust. Accountability includes working within competence, obtaining consent, communicating clearly, keeping accurate records, maintaining confidentiality, delegating safely, raising concerns and acting with candour, while distinguishing personal professional responsibility from organisational policy.
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