Mrs. L has refused permission for you to assess her breasts and genitalia. Being sensitive to legal considerations, your first response is to
a. ask a family member to convince her of the importance of this assessment.
b. document her refusal and conclude the assessment.
c. explain the importance of the assessment and repeat your request.
d. notify the nursing supervisor to speak with the patient.
C
When a patient refuses to give permission, it is your obligation to make sure the patient understands the consequences of refusing and is able to make an informed decision. If the patient still refuses after you have explained the importance, you must respect the patient's right to refuse. Always document your explanations and the patient's refusal thoroughly. It is inappropriate to ask a family member or nursing supervisor to speak with the patient. This may be construed as your being coercive.
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