A practical nurse (PN) is caring for a client who is scheduled for an elective surgical procedure in two hours. The surgeon previously discussed the procedure with the client and left the consent form on the chart. When the PN prepares to witness the client's signature, the client states, "I know I need the surgery, but the doctor mentioned some alternative treatments and I cannot remember what they were." Which action is legally required of the PN?
- AReview the alternative treatments listed in the facility's educational brochure with the client, then obtain the signature.
- BAsk the charge registered nurse (RN) to explain the alternative treatments to the client so the preoperative checklist can be completed.
- CAdvise the client that the surgeon has already determined this procedure is the best option and encourage them to sign the form.
- Withhold the consent form and notify the surgeon that the client requires further clarification before signing.Answer
Answer
Withhold the consent form and notify the surgeon that the client requires further clarification before signing.
The legal standard for informed consent mandates that the client must fully understand the procedure, including its risks, benefits, and alternatives, before signing. The nurse's role is to act as a witness to the signature and to verify that the client is competent and comprehends the information. If the client asks questions that indicate a lack of understanding, the nurse cannot legally provide this medical information. The nurse must act as an advocate by pausing the consent process and notifying the healthcare provider, who is responsible for providing the necessary clarification.
Step-by-Step Solution
Key Concept
Informed Consent and Scope of Practice