Which nurse's statement most closely indicates paternalism?
1. "While I know you are scared, you need to consider all your options."
2. "I must follow these orders and prepare you for surgery now."
3. "The tests and blood work are completed, so the course of action is decided."
4. "If you don't understand why we are doing something, just ask questions."
Answer: 3
Rationale: Paternalism is the complete disregard for the client's right to understand the treatment options available and make the best choice based on the client's preferences. Therefore, the statement describing the completed tests and blood work most closely indicates paternalism, as it has no indication of client involvement in the decision. Considering options indicates the availability of client involvement in treatment options, preparing for surgery does not indicate either paternalism or autonomy, and encouraging questions is also indicative of client involvement in autonomy.
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