A competent adult client says, "I am leaving now," despite t… | MyMerci
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Advance Directives MOC
Question

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

Explanation
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.
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In-depth explanation

Clinical Judgment
Autonomy does not remove the nurse's duty to assess understanding and communicate risk.

Memory Tip
AMA: assess, inform, notify, document.

Clinical scenario

Clinical Practice Guide
Against-medical-advice situations require capacity awareness, risk communication, provider notification, documentation, and harm-reduction discharge instructions.

Caution
Do not use coercion when the client is competent and not legally detained.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.