A practical nurse (PN) is caring for an adult client who is scheduled for an elective surgical procedure later in the day. The healthcare provider has just left the room after handing the informed consent form to the client. The client turns to the PN and states, "I still do not understand what the risks of this surgery are, but the doctor seemed in a hurry." Which of the following actions should the PN take to advocate for this client? (Select all that apply.)
- Ensure the consent form remains unsigned until the healthcare provider answers the client's questions.Cevap
- Notify the healthcare provider that the client requires further explanation about the procedure's risks.Cevap
- Document the client's statements and the actions taken to notify the provider in the medical record.Cevap
- DUse the facility's educational brochures to explain the specific surgical risks and benefits to the client.
- EEncourage the client to sign the form now, assuring them that the surgeon will review the risks before anesthesia.
- FWitness the client's signature on the consent form, as the nurse's signature only verifies the client's identity.
Cevap
The correct actions are to ensure the form remains unsigned, notify the healthcare provider to return and explain the risks, and accurately document the event.
The correct actions demonstrate effective client advocacy and adhere to the practical nurse's scope of practice. When a client expresses a lack of understanding about a procedure, the nurse must act as an advocate by pausing the consent process. The nurse must notify the healthcare provider, as it is solely the provider's legal responsibility to explain the risks, benefits, and alternatives of the surgery. Finally, the nurse must accurately document the client's statements and the interventions taken to maintain a factual medical record.
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Anahtar Kavram
Client Rights and Advocacy in Informed Consent