If a client on methadone wants to leave against medical advice, what should the nurse say?

In situations where a client expresses a desire to leave against medical advice, it is essential for the nurse to practice effective communication and advocacy. By stating, “I will talk to the healthcare provider about your concerns,” the nurse acknowledges the client’s autonomy while also prioritizing their safety and well-being.

This response allows the client to feel heard and validated in their feelings, which is crucial for maintaining trust. It also opens a dialogue about potential risks associated with leaving the treatment program prematurely, especially in the context of methadone use, which requires careful management. By involving the healthcare provider, the nurse can ensure that the client receives a full explanation of their situation and any possible consequences of leaving, facilitating informed decision-making.

The other responses, while relevant in different contexts, do not balance the need for client autonomy with the need for continued care as effectively. For instance, simply affirming the client’s right to make decisions does not address their health needs or concerns. Emphasizing the urgency of treatment without further engagement may pressure the client and could lead to resistance. Finally, arranging for immediate discharge overlooks the responsibility to provide adequate support and information to help the client make an informed choice.