The nurse is attempting to provide discharge teaching to a patient recently diagnosed with a terminal illness
The patient tells the nurse they would prefer to discuss this stage of care with the nurse that had been assigned to them for the past 3 days. What initial action by the nurse is indicated? 1. The nurse will need to contact the physician.
2. The nurse should ask the patient to sign a refusal of information form.
3. The nurse should continue to provide the information to the patient despite the objections of the patient.
4. The nurse should ask the patient what efforts could be taken to make him feel more comfortable.
4
Rationale: The patient is not feeling secure. Acutely ill patients need to feel comfortable and secure in order to learn. The physician should not be contacted, as there is limited information to provide to them. The nurse has a responsibility to attempt to accomplish the education and not just ask for the patient to sign a refusal form. Forcing the information on the patient would be counterproductive and cause more anxiety.
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