A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse’s signature on the form confirms which of the following requirements? (Select all that apply.)
The client speaks the same language as the nurse.
The client signed in the nurse’s presence.
The client was not coerced.
The client has legal authority to do so.
The client does not have a mental health condition.
Correct Answer : B,C,D
Choice A Reason:
The requirement that the client speaks the same language as the nurse is not a standard criterion for informed consent. While effective communication is crucial, the presence of an interpreter can facilitate understanding if there is a language barrier. The nurse’s signature does not confirm the language spoken by the client.
Choice B Reason:
The nurse’s signature on the informed consent form confirms that the client signed the document in the nurse’s presence. This is a standard practice to ensure that the consent was given voluntarily and that the client was present at the time of signing. It helps in verifying the authenticity of the consent.
Choice C Reason:
The nurse’s signature also confirms that the client was not coerced into signing the consent form. Informed consent must be given voluntarily, without any form of pressure or coercion. This ensures that the client’s decision is made freely and with full understanding of the procedure or treatment.
Choice D Reason:
The nurse’s signature confirms that the client has the legal authority to give consent. This means that the client is of legal age and has the mental capacity to understand the information provided and make an informed decision. It is essential to ensure that the client is legally competent to consent to the treatment or procedure.
Choice E Reason:
The requirement that the client does not have a mental health condition is not a standard criterion for informed consent. Clients with mental health conditions can still provide informed consent if they have the capacity to understand the information and make a decision. The nurse’s signature does not confirm the mental health status of the client.
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View Related questions
Correct Answer is B
Explanation
Choice A Reason:
Telling the client about the benefits of the surgery might seem helpful, but it does not address the client’s immediate concern. The client has expressed a clear decision to refuse the surgery, and the nurse must respect this decision by informing the surgeon. This approach aligns with the ethical principle of respecting patient autonomy.
Choice B Reason:
Letting the client know that their surgeon will be notified of their decision is the correct action. This respects the client’s autonomy and ensures that the surgeon is aware of the client’s wishes. It also allows for further discussion between the client and the surgeon, where the client can receive more detailed information and support.
Choice C Reason:
Reassuring the client that it is expected to be nervous before surgery is supportive but does not address the client’s refusal. While it is important to acknowledge the client’s feelings, the nurse must also take appropriate steps to respect the client’s decision and inform the surgeon.
Choice D Reason:
Informing the client that it is too late to stop the surgery is incorrect and unethical. Patients have the right to refuse treatment at any time, and it is the nurse’s duty to respect and facilitate this decision.
Correct Answer is D
Explanation
Choice A Reason:
Logrolling is a technique used to turn a patient while maintaining the alignment of the spine. It is particularly important for patients with spinal injuries or those who have undergone spinal surgery. While preventing friction is a benefit, the primary purpose of logrolling is to maintain spinal alignment and prevent further injury.
Choice B Reason:
Keeping the arms at the sides while logrolling is not a standard recommendation. In fact, it is often suggested that patients cross their arms over their chest to minimize lateral spinal displacement during the roll. This helps in maintaining the alignment of the spine and preventing any twisting or bending.
Choice C Reason:
The head of the bed should be flat during logrolling to ensure proper spinal alignment. Elevating the head of the bed can cause misalignment and increase the risk of injury. The bed should be positioned flat and at a comfortable working height for the caregivers performing the logroll.
Choice D Reason:
Logrolling is specifically designed to keep the spine in alignment. This technique involves turning the patient in one smooth motion without twisting or bending the body. It is crucial for patients with spinal injuries to prevent further damage and ensure safe repositioning.
