How should a client's right to refuse services be handled?

• A. Acknowledge choice, document refusal, offer alternatives, and ensure no coercion.
• B. Ignore client's refusal if they seem distressed.
• C. Remove access to services after refusal.
• D. Force a different service.

Answer: (A)

Respecting a client’s right to refuse services is fundamental. When a client declines, acknowledge their choice, document the refusal, and offer alternatives that fit their preferences without pressuring them. Documenting the refusal creates a clear record for continuity of care and accountability, while offering alternatives shows support and flexibility in meeting their goals. Most important, ensure there is no coercion—no pressure, manipulation, or threats to push the client into another service. If the client is distressed or safety concerns arise, address those respectfully and plan to revisit options when they’re ready, rather than forcing participation. This approach honors autonomy, supports trust, and aligns with ethical practice.