What should you do if a client refuses some services that would meet needs?

• A. Respect autonomy, document preferences, provide information on benefits/risks, offer alternatives, and note in the rating with a plan to revisit.
• B. Force the client to accept services to meet needs.
• C. Ignore the client's refusal and proceed with services anyway.
• D. Stop the rating process until the client agrees.

Answer: (A)

Respecting client autonomy and informed decision-making is essential when services could meet a client's needs. If a client refuses some services, the best approach is to support their decision, make sure they understand the benefits and risks, explore reasonable alternatives, document their preferences, and set a plan to revisit the discussion later. This keeps the client in control, ensures informed consent, and maintains an accurate record that can guide future decisions and re-engagement. Forcing participation, ignoring the refusal, or halting the process without documenting preferences would undermine autonomy and trust and could distort the needs rating. Providing clear information and considering alternatives shows respect for the client while keeping the option to revisit efforts open.