If a spouse refuses medication on behalf of a competent client, what should the nurse do?

In situations where a competent client refuses medication and a spouse is involved, respecting the autonomy of the client is paramount. The client has the right to make their own healthcare decisions, including the refusal of medication. When the spouse communicates the refusal on behalf of the client, the nurse should facilitate communication between the client and the spouse. By requesting that the spouse encourage the client to call back, the nurse prioritizes the client’s decision-making capacity and promotes direct communication. This approach supports the client's autonomy by ensuring they can express their wishes directly without intermediaries, reinforcing the practice of patient-centered care.

Documentation, notifying the physician, or contacting the pharmacy might be appropriate in other scenarios but may not address the immediate need to engage the client directly, which is critical in promoting their rights and preferences in healthcare decisions.