A 43-year-old patient with a known history of substance abuse is admitted to the emergency department in a state of acute withdrawal. The patient vehemently refuses any medication that has potentially addictive properties, including those necessary to safely manage withdrawal symptoms. As a certified emergency nurse, which of the following actions best addresses this ethical dilemma?
Engage the patient in a discussion about the risks and benefits of available treatments, considering their preferences and medical needs.
Recommend only non-addictive alternatives, despite their potentially lower efficacy in managing severe withdrawal symptoms.
Administer the necessary medication without the patient’s consent to prevent immediate harm.
Choose not to treat the withdrawal symptoms to fully respect the patient's wishes.
The correct answer is to engage the patient in a discussion about the risks and benefits, respecting their autonomy while providing professional guidance. This approach respects the patient’s right to be involved in their care decisions while enabling the nurse to fulfil their duty to inform and advocate for safe, effective treatment. Administering medication without consent violates patient autonomy and legal standards. Choosing not to treat the patient’s condition ignores the nurse's responsibility to provide care. Recommending only non-addictive alternatives might not adequately address the severity of the patient's withdrawal symptoms, potentially leading to harm.
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