A Jehovah's Witness does not want any blood or blood products transfused. What should the nurse do?

• A. Overrule the patient
• B. Ignore
• C. Seek court order
• D. Respect clients wishes

Answer: (D)

The key idea is patient autonomy and informed decision-making. A competent adult has the right to refuse any medical treatment, including blood transfusions, based on personal or religious beliefs. The nurse’s role is to honor that decision, ensure the patient understands the consequences, and document the refusal clearly. Provide information about risks and any available alternatives or bloodless options, and arrange care that respects the patient’s choices. Overriding the patient, ignoring the refusal, or seeking a court order are not appropriate responses when the patient is competent to decide.