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Zorluk: KolayAdvance Directives and Informed Consent

A practical nurse (PN) is assisting with the admission of a client who is scheduled for an elective surgery. The healthcare provider has already explained the procedure, risks, and alternatives. Arrange the following actions the PN should take to facilitate the informed consent process in the correct chronological order.

  1. 1Verify in the medical record that the client has not been administered any preoperative sedating medications.
  2. 2Ask the client if they have any remaining questions about the procedure for the healthcare provider.
  3. 3Observe the client voluntarily signing the informed consent document.
  4. 4Place the nurse's signature on the consent document as a legal witness.

Cevap

The correct sequence is to first verify the client has not received sedatives, then check for any remaining questions, observe the client sign the document, and finally sign the document as a witness.
The practical nurse's role in informed consent is strictly limited to advocating for the client and witnessing the signature. The PN must first establish that the client is competent (has not received sedatives) and ready (has no remaining questions for the provider). Once readiness is established, the PN observes the voluntary signature and then immediately signs as the official witness.

Adım Adım Çözüm

1
Assess client competence.
Verify no sedatives were given.
A client cannot give legal consent if under the influence of central nervous system depressants.
2
Assess client readiness.
Ask if there are remaining questions.
The PN verifies understanding but does not explain the procedure; if questions exist, the provider must be called to explain further.
3
Witness the signature.
Watch the client physically sign the form.
The core of the PN's legal role in informed consent is observing the voluntary signature.
4
Document the witnessing.
Sign the form as a witness.
The PN completes the legal requirement by adding their own signature immediately after seeing the client sign.

Anahtar Kavram

Practical Nurse Role in Informed Consent
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