Progressive Care Nursing Certification (PCCN) Practice Exam

When a patient with an extensive history of ACS wants to continue treatment against the husband's wishes, what should the nurse recognize?

1. Support the patient's wishes under the ethical principle of autonomy

2. Educate the patient that comfort can be maintained without treatment

3. Consider that cognitive impairment means the husband should decide

4. Consult spiritual care before any healthcare decisions

The correct answer is: Support the patient's wishes under the ethical principle of autonomy

Supporting the patient's wishes under the ethical principle of autonomy is crucial in situations involving healthcare decisions. Autonomy refers to the right of individuals to make informed decisions about their medical care without coercion or interference from others. In this scenario, the patient has an extensive history of Acute Coronary Syndrome (ACS) and has expressed a desire to continue treatment despite her husband's objections. As a nurse, it is essential to respect her autonomy, as she has the right to make her own healthcare choices based on her values, preferences, and understanding of her medical condition. In addition, respecting patient autonomy aligns with ethical nursing practice, which emphasizes the importance of listening to patients and ensuring they have the necessary information to make informed decisions about their treatment plans. This approach not only empowers the patient but also reinforces the trust in the nurse-patient relationship. The other options, while they may present different perspectives, do not adequately honor the patient’s own wishes and rights in this context. Supporting the patient's autonomy ensures that her preferences are prioritized in her care and treatment.