A nurse is caring for a terminally ill client who requests to stop all treatments, including nutrition and hydration. The client's family insists that treatment continue, claiming the client is unable to make rational decisions. What is the BEST action for the nurse to take?
Maintain all treatments until the family agrees to stop them.
Request a legal ruling to resolve the disagreement between the family and the client.
Respect the client's decision and collaborate with the healthcare team to ensure the plan of care honors the client's wishes.
Follow the family's concerns and continue treatment as ordered by the provider.
The nurse should first confirm that the client has decision-making capacity, then respect and advocate for the client's autonomous choice by collaborating with the interprofessional team to honor the client's wishes. Client autonomy takes priority when the client is competent and informed. Resorting immediately to the courts is premature unless capacity cannot be established or conflict persists despite team efforts. Deferring to family demands or continuing treatment without consent violates the ethical principle of autonomy and the nurse's duty to advocate for the client.
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