A competent adult client says, "I am leaving now," despite the provider's recommendation to stay. What is the nurse's best action?

A competent adult has the right to refuse treatment and leave, but the nurse should assess understanding, explain risks, notify the provider, and document according to policy. Detaining or restraining a competent client without legal basis is inappropriate. Safety planning and follow-up instructions should be offered.

In-depth explanation

<span class='merci-scenario-label'>Clinical Judgment</span><br>Autonomy does not remove the nurse's duty to assess understanding and communicate risk.<br><br><span class='merci-scenario-label'>Memory Tip</span><br>AMA: assess, inform, notify, document.

Clinical scenario

<span class='merci-scenario-label'>Clinical Practice Guide</span><br>Against-medical-advice situations require capacity awareness, risk communication, provider notification, documentation, and harm-reduction discharge instructions.<br><br><span class='merci-scenario-label'>Caution</span><br>Do not use coercion when the client is competent and not legally detained.

Key concepts

• Autonomy — The client's right to make informed decisions about care.
• Capacity — The ability to understand information and make a health decision.
• AMA — Leaving or refusing care against medical advice.