A client is resting in a medical-surgical room awaiting a bedside thoracentesis. The physician has recently exited the room after discussing the intervention. The client holds the uncompleted paperwork and remarks to the practical nurse, "I am willing to sign this, but I am still very confused about those other treatment choices the doctor mentioned." Which of the following actions are appropriate for the nurse to perform? (Select all that apply.)
- Notify the physician that the client requires additional explanation regarding the alternative therapies.Answer
- Refrain from witnessing the signature on the document until the client's questions have been fully answered.Answer
- CReview the facility's educational materials with the client to clarify the differences between the treatments.
- DAssure the client that the physician would not recommend this intervention if it were not the absolute best choice.
Answer
The appropriate actions are to refrain from witnessing the signature and to notify the physician.
Valid informed consent requires the client to fully comprehend the procedure and its alternatives. Because the practical nurse's role is strictly limited to witnessing the signature and confirming voluntary agreement, the nurse must advocate for the client by delaying the signing process and notifying the provider to return and clarify the medical information.
Step-by-Step Solution
Key Concept
The practical nurse's role in informed consent is limited to witnessing the signature and verifying voluntary, informed agreement. The nurse must not explain the procedure or alternatives, but instead notify the provider if the client has questions.