Nursing Ethics, Laws, and Practices Practice Test

When a capable patient asks for a nonstandard treatment not offered by the hospital, the nurse’s role is to support informed decision-making and ensure safety and legality through clear information, consent, and physician involvement. Start by explaining all relevant options, including the standard treatments available, the nonstandard option the patient is considering, and why it is or isn’t offered at the facility. Discuss the risks, benefits, uncertainties, and alternatives in terms the patient can understand, and check that they genuinely grasp the information. This respects the patient’s autonomy and helps them make a choice that aligns with their values and well-being.

If the patient chooses the nonstandard option, obtain documented informed consent that reflects their understanding and decision, and ensure a physician is involved to assess medical appropriateness, provide an order if appropriate, and supervise the plan of care. Throughout, maintain a noncoercive, respectful approach; do not pressure or unduly persuade, and avoid presenting hospital policy as the sole determinant of the decision.

Delaying discussion or acting without consent would undermine patient autonomy and violate ethical and legal standards, while refusing the patient’s request solely on policy without exploring their understanding and preferences would also be inappropriate. By facilitating information, honoring the informed choice, securing written consent, and coordinating with the physician, you support safe, patient-centered care.