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Zorluk: OrtaClient Rights and Advocacy

While working in an outpatient endoscopy clinic, a practical nurse brings a procedural document to a client scheduled for a colonoscopy. The physician has already completed the preoperative discussion. As the client holds the pen, they state, 'I am still confused about how they will remove the polyps if they find any.' Which action demonstrates appropriate client advocacy by the nurse?

  1. Place the document aside and notify the physician to return and answer the questions.Cevap
  2. B
    Explain the standard polyp removal process to the client using simple terminology.
  3. C
    Have the client sign the document and ensure the physician answers the question in the procedure room.
  4. D
    Read the clinical description from the consent form aloud so the client can proceed with signing.

Cevap

The correct action is to pause the signing process and notify the physician to return and clarify the procedure for the client.
Informed consent requires the client to fully understand the procedure, including its risks, benefits, and alternatives, before signing. The role of the practical nurse is to witness the signature and verify that the client comprehends the information provided. If a client expresses confusion or asks procedural questions, the nurse must advocate for their right to informed consent by delaying the signature and contacting the primary healthcare provider to provide further explanation.

Adım Adım Çözüm

1
Identify the client's current status regarding the consent process.
The client has expressed confusion about the procedure immediately prior to signing the document.
Determining the client's level of understanding is a prerequisite for a valid informed consent signature.
2
Determine the practical nurse's scope of practice in this scenario.
The nurse's role is to act as a witness and verify comprehension, not to explain procedural details or risks.
Explaining the technical aspects of a procedure is the legal responsibility of the healthcare provider performing it.
3
Select the action that best advocates for the client's rights.
The nurse must stop the signing process and notify the physician to return and answer the questions.
This action protects the client's right to true informed consent before any legal documents are signed.

Anahtar Kavram

The practical nurse's role in informed consent is to witness the signature and ensure the client understands the provider's explanation. If the client is confused, the nurse must advocate for them by delaying the signature and notifying the provider.
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