Case Study (Nursing Documentation): A nurse needs to document a patient’s refusal of their morning medication. Which entry is most professional and legally sound?

  • "Patient was uncooperative and refused his medication again."
  • "Patient refused medication because he doesn't think he needs it."
  • "09:00: Patient refused morning dose of Metformin. When asked why, patient stated, 'I feel fine, I don't want to take it.' Dr. Ahmed notified."
  • "Patient didn't take his Metformin. Doctor informed."
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