Which action is most appropriate when an 85-year-old client tells a nurse, "I signed the papers for the research study because the doctor was so insistent, but I really don't understand it"?
1. Ask the physician to explain the study again to this client.
2. Ask the client what questions he has, and tell him that no one will be angry if he changes his mind.
Answer: Ask the client what questions he has, and tell him that no one will be angry if he changes his mind.
Rational: Asking the client about their questions regarding the study and indicating the right to withdraw protects the client's right of self-determination. The right of self-determination allows the subject to choose to take part in the study free from constraints, coercion, or undue influence. Reassuring the client that he will be fine and saying that the study will be ruined are forms of coercion. The client perceived undue pressure from the physician, so it would do no good to have this same physician explain the study again.