An alert and oriented client is scheduled for a lumbar puncture. The attending physician has completed the initial discussion regarding the procedure. As the practical nurse hands the client a pen to sign the informed consent document, the client states, "I am still not entirely sure what other options I have besides this test." Which action should the nurse take next?
- Withhold the consent form and notify the physician that the client requires further explanation of alternative options.Answer
- BExplain the alternative diagnostic tests to the client based on the provider's notes before obtaining the signature.
- CConduct a comprehensive cognitive assessment to determine if the client is legally competent to delay the signature.
- DSeek out the client's family in the waiting area to ask if they can help clarify the alternatives for the client.
Answer
The correct action is to withhold the consent form and notify the physician that the client requires further explanation of alternative options.
For informed consent to be legally valid, the client must fully understand the procedure, including its risks, benefits, and any alternative options. Providing this detailed medical explanation is strictly the responsibility of the healthcare provider. The practical nurse's role is to witness the signature voluntarily given by a competent, informed client. Because the client expressed uncertainty about alternative options, the nurse must advocate for the client by stopping the consent process and notifying the provider to return and answer the client's questions.
Step-by-Step Solution
Key Concept
The practical nurse's role in informed consent is to act as an advocate and a witness. If a client demonstrates a lack of understanding regarding the procedure, risks, benefits, or alternatives, the nurse must halt the signing process and notify the healthcare provider.