Which emergency department client would be allowed to leave against medical advice after the risks are discussed with the primary health care provider?

Question

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To leave against medical advice (AMA), a client must have the risks explained and be able to understand them (ie, competent). Issues that can make a client ineligible to leave AMA include danger to self or others, lack of consciousness, altered consciousness, mental illness, being under chemical influence, or a court decision. Despite it not being in the client's best health interest, the client with gastrointestinal bleeding can leave AMA (Option D). (Option A) Parents may not refuse life-, limb-, or organ-saving treatment on behalf of their minor child for religious or personal reasons; they can make that decision only for themselves. If the parents deny critical treatments to the child, the hospital may seek protective custody. (Option B) Suicidal ideation (ie, danger to self) is a criterion that prevents a client from being allowed to leave AMA. (Option C) The client is not oriented x3 and is therefore not competent. There are 3 orientation categories (time, place, and person); orientation to time is lost first. To be oriented, the client must answer all questions in each category correctly. Educational objective: After an explanation of the risks is given, a client must be considered competent in order to leave against medical advice. A client with suicidal ideation or altered consciousness is not competent. Parents may not refuse limb-, life-, or organ-saving treatment for a minor child based on their own personal beliefs.

Which Emergency Department Client Would Be Allowed to Leave Against