Author Question: A client with serious medical problems wants to leave the hospital without a physician's discharge ... (Read 59 times)

captainjonesify · **on:** Jul 22, 2018

A client with serious medical problems wants to leave the hospital without a physician's discharge order. The client is mentally competent. Legally, the priority nursing action is which of the following?

1. Administer a sedative to keep him from leaving.
2. Find out why the client is leaving, and correct the situation so he will stay.
3. Notify the nursing supervisor.
4. Notify the client's family about the situation.

Question 2

Which of the following allows a nurse to live in and be licensed by one state and practice nursing in another?

1. National Council of State Boards of Nursing
2. Nurse Compact Licensure Administrator
3. National League of Nurses
4. Nurse Licensure Compact

emily12345 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale 1: Answer option 3 is correct because legally, the client has the right to refuse care, and may leave the hospital if he chooses. The nursing supervisor should be notified so the legal interests of the facility, as well as the client's best interest, can be served. The supervisor will explain to the client what could result from his decision and have the client sign an against medical advice (AMA) form. Restraining the client (a sedative is a chemical restraint) is false imprisonment and against the law. If the client chooses to leave anyway, the nurse has increased the danger to the client due to the administration of the sedative. Option 2 is incorrect because the reason the client is leaving is likely beyond the capacity of the nurse to correct. Option 4 is incorrect because this is an invasion of the client's privacy.

Answer to Question 2

4
Rationale 1: The Nurse Licensure Compact is the model allowing nurses to live in one state, have a license in that state, and work in another state that is a member of the Compact. The National Council of State Boards of Nursing is the organization that includes all boards of nursing within the United States and oversees the NCLEX examination. The National League of Nurses is a professional nursing organization largely involved in improving nursing education. A Nurse Compact Licensure Administrator is a person hired by each Compact state to facilitate the flow of information between states.