Final answer:
The nursing assistant should notify the nurse in charge if a client decides to leave the hospital immediately. The nurse will assess the situation and follow the hospital's protocol for patients leaving against medical advice, ensuring patient autonomy and safety are considered.
Step-by-step explanation:
If a client in the hospital announces that he is leaving immediately and insists that no one can stop him, the nursing assistant should immediately notify the nurse in charge. The nurse will need to assess the situation to determine the patient's capacity to make decisions and evaluate the potential risks involved in leaving against medical advice. If necessary, the nurse will implement the hospital's protocol for managing a patient who wants to leave the hospital voluntarily without official discharge, which may include steps like attempting to discuss the risks with the client and ensuring the client signs the necessary forms to acknowledge their understanding of the potential consequences.
The nursing staff must balance the patient's right to autonomy with ensuring patient safety and legal protection for the hospital. The approach should be professional and prioritize effective communication and understanding of the patient's rights and the potential implications of their decision to leave.