What action should a nurse take to advocate for a client with end-stage liver disease who refuses to stop drinking?

Advocating for a client with end-stage liver disease who refuses to stop drinking involves respecting their autonomy while also providing support and resources. Accepting the client's decision means recognizing their right to make choices about their own health, even if those choices may not align with what is best for their medical condition. This approach helps build trust and rapport between the nurse and the client, creating an environment where the client feels supported rather than pressured.

In this situation, offering to be a resource if needed signals that the nurse remains available for guidance and support without imposing their views on the client. This strategy promotes open communication, allowing the client to seek help or information if they choose to make changes in the future. A non-judgmental stance is crucial in maintaining a therapeutic relationship, which can ultimately lead to better health outcomes in the long term.

Other options such as forcing the client to stop drinking or encouraging family intervention may not honor the client’s autonomy and can lead to resistance or further alienation. Referring the client to a rehabilitation program could also be beneficial, but without the client's willingness to engage, it would not be as effective as supporting their current choice while remaining a resource.