A registered nurse is supervising a licensed practical nurse who reports that a stable client refuses a prescribed treatment. What should the registered nurse do first?

Correct answer: B. Assess the client's understanding and reason for refusing the treatment

  • A. Ask the practical nurse to document the refusal and take no further action
  • B. Assess the client's understanding and reason for refusing the treatment
  • C. Tell the practical nurse to obtain the client's signature on a refusal form
  • D. Ask the provider to prescribe a different treatment immediately

Explanation

The registered nurse should assess the client's understanding, capacity, and reason for refusal before planning further care. Documentation and provider notification may follow, but they do not replace assessment of the client's decision.

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About Delegation and Assignment (NCLEX)

Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.

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