A voluntary client on a psychiatric inpatient unit asks the nurse to get her the forms for discharge
against medical advice so she can leave immediately. The best response for the nurse to make would
be
a. "I can't give you those forms without your physician's knowledge.".
b. "I'll get the forms for you and bring them to your room.".
c. "Your lawyer must get the forms for you from your doctor.".
d. "Please tell me how you came to the decision to leave treatment.".
ANS: D
A client who has been voluntarily admitted as a psychiatric inpatient has the right to demand and
obtain release in most states. However, as a client advocate, the nurse is responsible for weighing
factors related to the client's wishes and best interests. By asking for information, the nurse may be
able to help the client reconsider the decision. Option A is not a true statement. Option B:
Facilitating discharge without consent is not in the client's best interests before exploring the reason
for the request.
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