The nurse is caring for a client who has dangerously elevated blood pressure and refuses to take the prescribed medication that could reduce the risk for stroke. The MOST appropriate response by the nurse is to:
a. urge the client to consider the medication's benefits
b. inform the client that he or she must take it as it is prescribed by the physician
c. accept the client's decision to refuse treatment
d. inform the client that he or she will be asked to leave the hospital
C
Autonomy refers to a person's right to choose and to act on that choice; it means that each person's right to make decisions is to be respected. In client care situations, a nurse must respect a client's right to decide a course of action; if a client is unable to make a decision because of legal incompetence, the nurse is responsible to protect that client. For example, a client who has dangerously elevated blood pressure may refuse to take the prescribed medication that could reduce the risk for stroke. While urging the client to consider the medication's benefits, the nurse must also be prepared to accept the client's decision to refuse treatment.
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