What should a nurse do if a client wishes to leave an inpatient facility that prohibits smoking?

When a client wishes to leave an inpatient facility that prohibits smoking, it is essential for the nurse to inform the client of the risks involved if they leave against medical advice (AMA). This conversation is critical as it ensures the client is making an informed decision about their health and treatment. By explaining the potential consequences—including the possibility of a worsening condition or lack of necessary follow-up care—the nurse provides the client with a clear understanding of what leaving the facility entails.

This approach also aligns with the nurse's ethical responsibility to advocate for the patient's wellbeing while respecting their autonomy. The emphasis is on ensuring that the client has all the relevant information to make the decision that's right for them, taking into account the implications of leaving the facility prematurely. Emotional support and understanding of the client's needs are key in such interactions, encouraging a thoughtful discussion rather than impulsive action.