A practical nurse (PN) is asked to obtain a client's signature on an informed consent form for an elective surgery. When the PN hands the form to the client, the client states, 'The doctor talked to me, but I still do not understand what the risks of this surgery are.' Which of the following is the appropriate action by the PN?
- AExplain the potential risks of the surgery to the client and then witness the signature.
- Notify the health care provider that the client needs further clarification before signing the form.Answer
- CPerform a comprehensive assessment of the client's knowledge deficit to determine if the surgery should be delayed.
- DDiscuss the client's hesitation with family members in the hallway to see if they can explain the procedure.
Answer
Notify the health care provider that the client needs further clarification before signing the form.
The correct action is to notify the health care provider. For informed consent to be legally valid, the client must fully comprehend the risks, benefits, and alternatives of the procedure. It is the legal responsibility of the health care provider performing the procedure to explain these elements. The practical nurse serves only as a witness to the signature and must advocate for the client by halting the signing process and notifying the provider if the client expresses confusion.
Step-by-Step Solution
Key Concept
The practical nurse acts as a witness for informed consent and must ensure the provider clarifies any client misunderstandings before the consent form is signed.