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A
Tell the client they cannot leave because the doctor hasn't discharged them
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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)
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C
Call security to prevent the client from leaving
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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