A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?
Explain the risks and benefits of refusing the surgery.
Discuss alternatives to the procedure.
Remind the client the consent form has already been signed.
Inform the provider that the client is withdrawing consent.
The Correct Answer is D
A. While explaining risks and benefits can be useful, the client's decision to withdraw consent takes precedence, and they should not be pressured to continue with the procedure.
B. Discussing alternatives is unnecessary if the client has already decided against the procedure, as their autonomy should be respected.
C. Reminding the client about the signed consent form is not appropriate, as informed consent can be withdrawn at any time prior to the procedure.
D. Informing the provider that the client is withdrawing consent is essential, as it ensures that the client's wishes are respected and prevents the procedure from proceeding against the client’s current decision.
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Correct Answer is C
Explanation
A. Waiting to speak only when certain undermines open communication and can stifle collaboration, which is crucial for synergistic function.
B. While expertise is valuable, relying solely on one person's opinion can lead to a lack of diverse perspectives and contributions from all team members.
C. Active listening among team members fosters an environment of respect and understanding, which is essential for synergy, allowing for the integration of ideas and better decision-making.
D. Not volunteering information can hinder communication and collaboration, which are necessary for teams to function effectively together.
Correct Answer is ["A","C","D"]
Explanation
A. It is crucial that staff members perceive the change as beneficial; otherwise, they will resist adoption. Clear communication of the advantages of the new device can foster acceptance.
B. A successful change process often involves negotiation and collaboration, allowing staff to express concerns and participate in the transition, enhancing buy-in and ownership.
C. The relationship between the nurse manager and the staff significantly impacts the change process; a positive relationship can lead to greater trust and willingness to adapt.
D. Involving staff in identifying the problem for the change promotes ownership and commitment, making them more likely to embrace the new device.
E. While sharing ideas and reactions is beneficial, discouraging the expression of fears can lead to unresolved issues and resentment, which could hinder the change process. It is essential to create an environment where all feelings and concerns can be shared openly.