A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:

Question

a. defer notifying the provider until the client has had ample time to leave.
b. state in medical terms the risks of leaving.
c. inform the client that leaving could result in complications and impairment.
d. detain the person with the use of soft restraints until security arrives.

Answer 1

ANS: C
Correct: The nurse must articulate to the client the dangers associated with leaving the facility if the primary provider is not present. The nurse's notes on this form should reflect the specific advice given to the client, which should include the fact that leaving the facility could aggravate the current condition and complicate future care, result in permanent physical or mental impairment or disability, or result in complications that can cause death.
Incorrect:
a. The nurse should act promptly to notify the provider if a client intends to leave the facility without a written order.
b. All explanations should be made to the client in clear, nonmedical language.
d. Use of restraints to deter a client from leaving is considered false imprisonment.