A practical nurse (PN) is preparing an older adult client for an elective surgical procedure. The charge nurse delegates the task of witnessing the client's signature on the informed consent form. When the PN presents the form, the client states, "I will sign it so we do not lose my spot, but the surgeon was in a hurry and I still do not understand what the major risks are." The client's spouse, standing near the open doorway, says, "It is fine, I read the surgical brochure and I can explain the risks to you right now." Which action should the PN take?
- Withhold the consent form, inform the client and spouse that the provider must answer questions regarding surgical risks, and notify the surgeon.Answer
- BAllow the spouse to explain the information from the brochure, then evaluate the client's comprehension before witnessing the signature.
- CUtilize the facility's standardized preoperative educational materials to independently teach the client about the specific surgical risks.
- DStep just outside the open room door to quickly update the charge nurse about the client's knowledge deficit to avoid delaying the procedure.
Answer
The correct action is to withhold the consent form, explain that the provider must answer questions regarding the risks, and notify the surgeon.
True informed consent is a legal mandate requiring the healthcare provider who is performing the procedure to explain the associated risks, benefits, and alternative treatments. The practical nurse's role is strictly to witness that the client signs the form voluntarily and appears competent. Because the client explicitly stated a lack of understanding, the PN must advocate for the client's rights by halting the process and notifying the surgeon to return and answer the client's questions.
Step-by-Step Solution
Key Concept
Informed Consent, Client Advocacy, and PN Scope of Practice