An adolescent client diagnosed with leukemia decides to stop chemotherapy treatments. The parents of the client, however, want the healthcare team to continue all treatments as necessary
Which action by the nurse is appropriate when providing care to this client and family?
A) Helping the family by providing information and allowing them to voice concerns
B) Confronting the parents and telling them not to be "selfish" in their child's time of need
C) Calling the authorities immediately
D) Obtaining a court order to determine the client legally able to make his or her own decisions
Answer: A
Parents have the authority to make healthcare decisions for their children. Dilemmas arise when parents and children do not agree on whether or not to go forward with a recommended treatment. In most cases, the nurse and other members of the healthcare team who have developed a therapeutic alliance with the child and family may be able to help the family come to a joint decision by providing additional information and opportunity to discuss their concerns with each other calmly and openly. In some cases, however, the healthcare team may need to seek guidance from the agency's ethics committee.
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