What should a nurse do if a patient refuses treatment?

Respecting a patient's autonomy is a foundational principle in nursing and healthcare. When a patient refuses treatment, the nurse must honor that decision as each individual has the right to make informed choices about their own health care. Documenting the refusal properly is critical, as it ensures there is a clear record of the patient's wishes and acknowledges their right to participate in treatment decisions. This documentation can also protect both the nurse and the healthcare facility legally, as it provides evidence that the patient was informed about the treatment and the implications of refusing it.

While there may be circumstances in which discussing the treatment further could be appropriate, persuading a patient to accept treatment without their consent undermines their autonomy and could lead to ethical and legal issues. Similarly, notifying the physician might be an important step to take, but it does not negate the need to respect the patient's decision initially. Providing treatment despite refusal, even if it is deemed life-saving, would violate the patient's rights and autonomy unless specific legal or ethical criteria are met, such as in cases where a patient is not competent to make decisions. Therefore, respecting the patient's decision and documenting it properly is the most appropriate and ethical response.