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If a patient refuses treatment, how should a CNL respond?

  1. Ignore the patient's feelings and insist on treatment

  2. Gather comprehensive information about the patient's concerns

  3. Document the refusal and move on

  4. Consult the nursing staff about transferring the patient

The correct answer is: Gather comprehensive information about the patient's concerns

A Clinical Nurse Leader (CNL) plays a critical role in patient advocacy and care coordination, so gathering comprehensive information about the patient's concerns is essential when a patient refuses treatment. This approach aligns with the principles of patient-centered care, which emphasizes understanding the patient's values, preferences, and unique circumstances. When a patient refuses treatment, it is vital to engage them in a conversation that explores their reasons for the refusal. This helps in understanding any fears, misconceptions, cultural beliefs, or previous experiences that may influence their decision. By actively listening and validating the patient's feelings, the CNL can build trust and rapport, which is essential for effective communication and future interactions regarding their care. Moreover, this inquiry can lead to educational opportunities, where the CNL may address any misunderstandings about the treatment, provide additional information, or discuss potential consequences of refusal. This process not only aids in patient autonomy but also in fostering a collaborative decision-making environment, ultimately enhancing the patient's engagement and compliance in their care plan. Documenting the refusal is part of the process, but it should not be the sole action taken. Engaging with the patient ensures that their voice is heard and respected in their healthcare journey.