NCLEX-RNManagement of CareMedium
A client with terminal pancreatic cancer tells the nurse she wants to stop chemotherapy and focus on comfort care. The client's adult children insist that the nurse convince their mother to continue treatment. Which response by the nurse best reflects the principle of autonomy?
- A"Let's wait until she is less tired to bring up the topic of treatment again."
- B"Your mother has the right to make her own decisions about her care, and I will support her choice."
- C"I'll ask the oncologist to speak with your mother again about the importance of continuing chemotherapy."
- D"I will explain to your mother the benefits of continuing treatment so she can reconsider."
Show answer & explanationAnswer & explanation
Correct answer: B. "Your mother has the right to make her own decisions about her care, and I will support her choice."
Autonomy is the ethical principle that respects a competent client's right to make decisions about their own care, even when family disagrees. The nurse's role is to support the client's informed choice, not to pressure her toward a different decision.
Why the other options are wrong
- A. Delaying the conversation does not address the ethical conflict or support the client's decision.
- C. Involving the oncologist to persuade the client also disregards her stated wishes.
- D. Attempting to change the client's mind undermines her autonomy.
Autonomy
The ethical principle affirming a competent client's right to make decisions about their own healthcare, free from coercion, even if family or providers disagree.
- Autonomy applies to competent, informed adults
- Nurses advocate for the client's wishes, not family preferences
- Conflicts between autonomy and beneficence require supporting the client's choice
Memory trick: Autonomy = 'auto' means self — the client drives their own care.