When documenting a client's refusal of care, which information should be included?

When documenting a client's refusal of care, which information should be included?

• A. Only that the client refused.
• B. The client's stated reason, the refusal, an assessment of decision-making capacity, the supervisor notified, and any alternatives discussed.
• C. Only the time of refusal.
• D. Personal opinions about the client.

Answer: (B)