Which of the following actions is appropriate for the nurse to take if her 15-year-old client refuses an injection?
A. Call his parents and ask their decision
B. Ask two colleagues to restrain him while she administers the injection
C. Take no further action
D. Document her client's wishes, explore the reasons for his decision, and ask for a consultation with the physician
Answer: D. If an adolescent is deemed competent by the practitioner, then he or she has the right to confidentiality (including parental knowledge) and the right to refuse treatment. The nurse has an obligation to ensure that the adolescent is aware of the ramifications of his or her decision.
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