If a client declines recommended actions, how should this be reflected in the Needs Met Ratings process?

• A. Do not document refusals
• B. Force action despite refusal
• C. Document the client's preferences, note declined actions, and update follow-up plans
• D. Mark the need as resolved

Answer: (C)

When a client declines recommended actions, you should capture their preferences, record what was declined, and adjust the follow-up plan accordingly. This keeps an accurate record of the client’s decisions and ensures future steps align with their choices, while still planning to reassess or offer alternatives later if appropriate. Documenting the declination also supports continued support, accountability, and informed decision-making.

Not documenting refusals loses important information about the client’s autonomy and the status of their needs. Forcing action ignores the client’s choices, which is inappropriate and could undermine trust. Marking the need as resolved would misrepresent the ongoing status if the need remains unmet or only partially addressed.