NCLEX · General

A client tells the LPN, 'I don't want any more treatment. I want to go home.' The client is alert and oriented. What is the nurse's best response?

Correct answer

Acknowledge the client's right to refuse treatment, notify the RN and provider, and ensure the client understands the implications of their decision — a competent adult has the right to refuse treatment and to leave (against medical advice if necessary)

  1. A Tell the client they cannot leave because the doctor hasn't discharged them
  2. B Acknowledge the client's right to refuse treatment, notify the RN and provider, and ensure the client understands the implications of their decision — a competent adult has the right to refuse treatment and to leave (against medical advice if necessary)
  3. C Call security to prevent the client from leaving
  4. D Sedate the client until family arrives

Why this is the answer

RIGHT TO REFUSE TREATMENT — AUTONOMY: A COMPETENT ADULT has the legal and ethical right to refuse treatment and to leave a healthcare facility, even against medical advice (AMA). NURSING RESPONSE: Acknowledge and respect the client's autonomy; do NOT detain a competent client against their will (that is false imprisonment); notify the RN and provider; ensure INFORMED refusal — the client should understand the risks/consequences of refusing or leaving; the provider discusses risks; document the client's decision and the education provided; AMA process: client may sign an AMA form (but can leave even if they refuse to sign); EXCEPTIONS: A client who is NOT competent (altered mental status, intoxication, psychiatric hold criteria, danger to self/others) may be detained per legal/medical criteria; INVOLUNTARY HOLD requires meeting specific legal standards; KEY: Competent adults cannot be forced to accept treatment; the role is to ensure the decision is informed, not to override it; LPN role: respect autonomy, notify RN/provider, support informed decision-making, document.
Source: NCLEX-PN Safe Care — Right to Refuse Treatment

Practice more questions

This question is from our NCLEX Practice Tests practice test. Take the full practice test to test your knowledge across all General and other topics.

Take the PN: Coordinated Care practice test →

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.