A client is in an outpatient clinic awaiting a minor surgical excision. The healthcare provider has discussed the procedure, and the practical nurse brings the printed consent document for the client's signature. Before signing, the client hesitates and asks, 'I forgot what the doctor said about the risk of scarring. Can you explain that to me?' Which action is most appropriate for the practical nurse to take?
- AExplain the typical scarring expected for this specific procedure to help the client feel more comfortable.
- BInstruct the client to sign the document now and assure them the provider will answer the question right before the surgery.
- Withhold the document and notify the healthcare provider to return and clarify the risk of scarring.Cevap
- DReview the standard risks listed on the consent document with the client to verify they understand them.
Cevap
Withhold the document and notify the healthcare provider to return and clarify the risk of scarring.
The correct action is to pause the consent process and contact the primary healthcare provider. A client must have all their questions answered by the provider performing the procedure before they can give valid informed consent. The practical nurse acts as an advocate and a witness to the signature, but it is outside their scope of practice to explain procedural risks, alternatives, or outcomes.
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Anahtar Kavram
The practical nurse's role in informed consent is limited to witnessing the signature voluntarily given by a fully informed client; addressing questions about risks or the procedure itself requires the provider.