A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

A. "You can place a client in a chair with a table or tray blocking them as an alternative to restraints.": Using furniture to block a client can restrict their movement and may still be considered a form of restraint. Legal guidelines emphasize the importance of promoting client safety and dignity, so alternative measures should be explored that do not involve restricting movement.

B. "Monitoring the client less often than required can be considered negligence.": Monitoring a client in restraints less frequently than required breaches the duty of care and can lead to harm. Proper monitoring is crucial for the safety and well-being of clients, ensuring that their physical and psychological needs are adequately addressed while they are in restraints.

C. "Family members cannot file a lawsuit when restraints are used for clients who have a mental illness.": Family members retain the right to file lawsuits if they believe that the use of restraints was inappropriate or caused harm, regardless of the client's mental health status. Legal rights apply equally to all clients, including those with mental illness, ensuring accountability in the use of restraints.

D. "Chemical restraints are allowed when there is a high client-to-nurse ratio.": The use of chemical restraints is subject to strict regulations and cannot be justified based solely on staffing levels. These restraints should only be used when necessary for the client's safety and must align with established legal and ethical guidelines, ensuring that they are not used as a solution for managing staffing challenges.

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.