In England, an adult patient with capacity refuses a recommended blood transfusion after receiving information about the benefits and risks. What should the nurse do first?
Correct answer: B. Respect the refusal and document the discussion
- A. Ask the family to persuade the patient
- B. Respect the refusal and document the discussion
- C. Arrange treatment because the transfusion is beneficial
- D. Ask another patient to discuss the decision
Explanation
A capacitous adult has the right to refuse treatment, even when the refusal may result in serious harm. The nurse documents the information given, the patient’s decision and any escalation required. Family members cannot override the patient’s valid refusal.
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About UK Law, Consent and Mental Capacity
UK consent and capacity law covers valid voluntary consent, adequate information, refusal of treatment, and the Mental Capacity Act principles for assessing decision specific capacity. It includes best interests decisions, least restrictive care, advance decisions and lasting powers of attorney, with capacity distinguished from mental illness, and legal capacity distinguished from clinical competence or mere agreement.
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50 free UK Law, Consent and Mental Capacity MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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