Evolve HESI Practice Exam

What should a nurse document if a client refuses to have blood samples taken for testing?

1. Refusal documented without further action

2. Healthcare provider notified of client's refusal

3. Client pressured to change their mind

4. Additional tests planned to persuade the client

The correct answer is: Healthcare provider notified of client's refusal

When a client refuses to have blood samples taken for testing, it is essential to notify the healthcare provider of the client's refusal. This documentation serves multiple critical purposes. First, it ensures that the healthcare team is aware of the client's decision and can consider it in their ongoing care plan. Second, it allows the provider to engage with the client further, clarify the reasons for the refusal, and address any misconceptions or concerns that may influence the client’s willingness to proceed with the testing. Furthermore, documentation of the refusal alongside notifying the healthcare provider helps maintain clear communication within the medical team, ensuring that everyone is systematically informed about the client's preferences and choices. This approach aligns with ethical nursing practices, emphasizing autonomy and informed consent while allowing for appropriate follow-up and support from the healthcare provider. The other options do not adhere to appropriate professional standards. Documenting a refusal without further action could overlook the need for additional support or education. Pressuring the client to change their mind is contrary to ethical principles and undermines the client’s right to make informed healthcare decisions. Planning additional tests to persuade the client may also be viewed as coercive and does not respect their autonomy or choices.