A patient developed an infection in his foot after going through surgery. The surgeon recommends incision and debridement of the foot wound but the patient refuses, blaming the surgeon for the infection. What actions must the nurse employ when a patient refuses care as recommended? Select all that apply.

 

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Correct

- Discuss the risks of declining the treatment

- Talk about the patient’s plans for litigation

- Allow the patient to bring up any concerns or questions for discussion

- Educate the patient about how infection starts

- Determine why the patient wants to refuse the treatment

Rationale

Some patients may refuse care, even when it is in their best interest to receive it. The reasons for refusing care vary with patients, but when a refusal occurs, the nurse can still act to support the patient. This is done by discussing the situation with the patient in a non-threatening manner and determining if there are any factors that could be changed that would change the patient’s point of view.

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