A nurse is caring for a client who is angry and demands to be transferred to a different psychiatrist. Which of the following statements should the nurse make?
Explanation & Rationale
A. Contacting the client’s family to see if they approve is inappropriate without the client’s consent because it violates confidentiality and the client’s right to make decisions about their own care. The client’s preferences take priority over family opinions in non-emergency situations. B. Contacting the primary care provider or appropriate administrative personnel to assist the client is the correct approach. This action allows the client’s request to be processed through the proper channels, ensures safe and continuous care, and validates the client’s feelings. It demonstrates professional advocacy, respecting the client’s autonomy while maintaining ethical and procedural standards. C. Recommending that the client continue with their current psychiatrist dismisses the client’s concerns and may increase anger, frustration, or distrust. This approach does not respect autonomy and can negatively affect the therapeutic relationship. D. Contacting the ethics committee is unnecessary for a routine request to change providers. Ethics consultations are reserved for complex situations involving conflicting ethical principles, dilemmas about treatment decisions, or situations where harm or risk is involved. Routine provider change requests can be addressed administratively.