Which scenario constitutes abandonment?

• A. Accepting an assignment and discontinuing without client permission or arranging suitable alternate care
• B. Refusing to work extra shift
• C. Floating to a unit with adequate orientation
• D. Calling for help when needed

Answer: (A)

Abandonment happens when a practitioner stops providing care without ensuring that another competent professional will take over and without giving reasonable notice to the patient or to the supervisor. In the scenario described, accepting an assignment and discontinuing without the client’s permission or arranging suitable alternate care leaves the patient without necessary ongoing care and a proper handoff isn’t made. That is abandonment because the continuity and safety of the patient’s care are abruptly disrupted.

By contrast, refusing to work an extra shift is a boundary setting and doesn’t terminate the patient relationship or leave care unfinished. Floating to a unit with adequate orientation indicates you’re prepared to provide safe care in that unit. Calling for help when needed shows you’re seeking support to protect the patient’s safety.