Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

A Jehovah's Witness patient requires a blood transfusion due to blood loss. What is the correct action for the nurse?

1. Provide full information and the reasons for the transfusion

2. Assume the patient will not accept a transfusion and report this to the physician

3. Tell the patient that he may die without the transfusion

4. Tell the patient that his health is more important than religious beliefs

The correct answer is: Provide full information and the reasons for the transfusion

Providing full information and the reasons for the transfusion is essential in this situation because it respects the patient's autonomy and allows the patient to make an informed decision regarding their care. Jehovah's Witnesses typically refuse blood transfusions based on their religious beliefs. By presenting the full details about the risks of not receiving a transfusion as well as the potential benefits, the nurse enables the patient to consider their options thoughtfully. This approach aligns with the ethical principles of nursing, including respect for the patient’s values and the right to make decisions about their own health. Informed consent is a fundamental requirement in healthcare, and it is particularly critical in cases where the patient's beliefs may conflict with standard medical practices. Engaging in a compassionate and open dialogue allows the patient to discuss their concerns and beliefs without feeling pressured. It opens the door to exploring possible alternatives, such as the use of volume expanders or other therapies that align with the patient's wishes. This approach not only fosters trust but also ensures that the care provided is in accordance with the patient's values and preferences.