A patient who is alert and has decision-making capacity refuses a prescribed injection. Which action should the nurse take first?
Correct answer: C. Explore the reason, inform the prescriber and document refusal
- A. Administer the injection because it is prescribed
- B. Ask a relative to give permission for the patient
- C. Explore the reason, inform the prescriber and document refusal
- D. Withhold all treatment until the patient changes the decision
Explanation
A capable adult has the legal right to refuse treatment after receiving appropriate information. The nurse should clarify concerns, notify the prescriber and record the refusal accurately, rather than forcing treatment.
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About Legal Aspects and PNMC Regulation
Legal aspects of nursing include professional scope of practice, registration and licensing, standards of care, negligence, malpractice, assault, battery, consent, confidentiality and accurate documentation. PNMC regulation also involves professional accountability, disciplinary procedures and safe delegation, which differ from ethical guidance because they carry legal or regulatory consequences.
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