QOD 094: Adult AMA ppwk (Management of Care)

A nurse is caring for a client who wants to leave the hospital against medical advice (AMA). The nurse has notified the provider and determined that the client has the mental capacity to refuse care. The nurse offers the client an AMA form to sign, but the client refuses to sign it. Which of the following actions of the nurse is most appropriate?

• Document the refusal in the client's chart
• Notify the provider for further orders
• Tell the client that he or she cannot be discharged AMA until the form is signed
• Call the police to escort the client out of the building