Question

Difficulty: MediumAdvance Directives and Informed Consent

A practical nurse (PN) is working in an outpatient orthopedic clinic. A client is preparing for a scheduled intra-articular corticosteroid injection. As the PN presents the informed consent form for the client's signature, the client asks, "I read online that these injections can sometimes cause cartilage damage. How often does that actually happen?" Which action should the PN take next?

  1. Withhold the consent form and notify the healthcare provider to address the client's question.Answer
  2. B
    Provide the client with the clinic's educational brochure detailing the injection risks.
  3. C
    Request that the clinic's registered nurse (RN) explain the complication rates to the client.
  4. D
    Document the client's concern and instruct them to ask the provider during the procedure.

Answer

The PN should withhold the consent form and notify the healthcare provider to address the client's question before any signatures are obtained.
Informed consent is a legal and ethical requirement ensuring the client fully understands a procedure before agreeing to it. The healthcare provider performing the procedure holds the legal responsibility to explain the risks, benefits, and alternatives. When a client asks a specific question about complications or risks, the practical nurse must recognize that the client is not ready to sign the consent form. The correct action is to pause the process and notify the provider so they can directly address the client's concerns.

Step-by-Step Solution

1
Identify the client's statement as a request for specific information regarding the risks of the medical procedure.
The PN recognizes that the client does not fully understand the potential complications.
Informed consent requires the client to have a clear understanding of risks, benefits, and alternatives.
2
Determine the scope of practice for the practical nurse regarding informed consent.
The PN concludes that their role is limited to witnessing the signature and ensuring voluntary agreement, not explaining medical risks.
Explaining procedure-specific risks falls exclusively under the purview of the healthcare provider performing the procedure.
3
Halt the signing process and contact the healthcare provider.
The provider returns to speak with the client, ensuring legal and ethical requirements for informed consent are met.
The client cannot legally give informed consent until their questions about risks are answered by the provider.

Key Concept

The practical nurse's role in informed consent is to act as a witness to the client's signature, while the healthcare provider is responsible for explaining the procedure, risks, benefits, and answering specific medical questions.
Estimated Time:1m 0s
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