A client tells a nurse that he does not think he can have the recommended heart surgery because transfusions are against his religion. What is the best response of the nurse in this situation?
A) Tell the client that the surgery is necessary to keep him alive and is the only choice.
B) Obtain all the information needed for the client to make an informed decision.
C) Prepare the client for a visit from his spiritual advisor.
D) Have the client sign a form stating his refusal of the treatment.
Ans: B
The nurse's role is to assist the client in obtaining the information needed to make an informed decision and to support the client's decision making. Because what the nurse says, and the way it is said, may powerfully influence the client's decision, it is important to maintain objectivity. Conflicts that resist resolution may be referred to an ethics committee or consult team.
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