The nurse is providing home care for a patient with an infection that is not improving. The patient refuses to see an infectious disease specialist. What should the nurse include in the do-cumentation of the patient teaching provided?
a. The discussion about the consequences of refusing to see a specialist and the pa-tient's response
b. The explanation that avoiding the special-ist will most likely lead to a terrible out-come
c. A hopeful explanation that this will most likely be the last medical specialist that the patient will need to see
d. The recommendation that the patient should discuss the decision with the fami-ly
A
The nurse documents the discussion about the consequences of refusing to see a specialist and the patient's response. Documenting the factual information presented about the risks of refusing treatment and the patient's specific response to it (continued refusal to seek a specialist) are key pieces of information to include. The nurse should neither try to scare the patient into seeing the specialist nor provide false hope that only one consultation will be required. As long as the pa-tient is competent to make a decision, the nurse must accept his or her choice. It is a requirement to document the facts surrounding that choice.
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