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Zorluk: KolayClient Rights and Advocacy

A practical nurse (PN) is asked to witness a client's signature on an informed consent form for an upcoming surgery. As the PN approaches with the form, the client states, 'I still do not really understand what the surgeon is going to do.' Which of the following is the best action by the PN?

  1. A
    Explain the details of the surgical procedure and its risks to the client.
  2. B
    Witness the signature since the surgeon has already visited the client.
  3. C
    Ask the registered nurse (RN) on duty to explain the procedure to the client.
  4. Notify the surgeon that the client requires further explanation before signing.Cevap

Cevap

Notify the surgeon that the client requires further explanation before signing.
The correct action is to notify the surgeon. The practical nurse's role in informed consent is to act as a witness to ensure the client is competent and signing voluntarily. If the client states they do not understand the procedure, the nurse must act as a client advocate by halting the process and notifying the provider. The provider is legally responsible for explaining the procedure and answering the client's questions before consent is given.

Adım Adım Çözüm

1
Identify the client's knowledge deficit regarding the upcoming surgery.
The client explicitly states a lack of understanding about what the surgeon is going to do.
Valid informed consent legally requires the client to fully understand the procedure, its risks, and alternatives prior to signing.
2
Recall the practical nurse's scope of practice regarding informed consent.
The nurse recognizes that their role is strictly to act as a witness to the voluntary signature of a competent client.
Explaining surgical procedures falls outside the nursing scope of practice and belongs exclusively to the healthcare provider.
3
Determine the appropriate advocacy action.
The nurse pauses the consent process and contacts the surgeon to return and speak with the client.
This action protects the client's right to informed consent and ensures safe, ethical care.

Anahtar Kavram

Client Rights and Advocacy: Scope of Practice in Informed Consent
Tahmini Süre:45s
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Client Rights and Advocacy

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