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Zorluk: KolayAdvance Directives and Informed Consent

A practical nurse (PN) is assisting in an outpatient clinic. A healthcare provider has just discussed an upcoming skin biopsy with a client and leaves the room. The provider asks the PN to obtain the client's signature on the informed consent form. As the PN hands the form to the client, the client asks, "Can you explain the possible complications of this procedure again?" What is the most appropriate action for the PN to take?

  1. Notify the healthcare provider to return and address the client's questions before the form is signed.Cevap
  2. B
    Read the potential risks documented on the consent form aloud to the client.
  3. C
    Reassure the client that the procedure is routine and instruct them to sign the form.
  4. D
    Request that the charge nurse come to the room to explain the procedure's risks.

Cevap

Notify the healthcare provider to return and address the client's questions before the form is signed.
The correct answer recognizes that explaining the risks, benefits, and complications of a procedure is the sole responsibility of the healthcare provider performing it. The PN's role in informed consent is limited to acting as a witness to the signature and verifying that the client is signing voluntarily. If a client expresses confusion or asks questions about the procedure, the PN must pause the consent process and notify the provider to return.

Adım Adım Çözüm

1
Identify the client's knowledge deficit regarding the procedure's risks.
The client asks for further explanation about complications before signing the consent form.
Informed consent is only valid when the client fully understands the procedure, including its risks and benefits.
2
Recall the PN's scope of practice regarding informed consent.
The PN's role is strictly limited to witnessing the signature and verifying that the client is signing voluntarily.
Explaining the risks, benefits, and alternatives of a procedure falls strictly within the scope of the provider performing the procedure.
3
Determine the safest and most legally appropriate action.
The PN must halt the signing process and defer the client's questions back to the healthcare provider.
This ensures the client receives accurate information from the legally responsible party before giving consent.

Anahtar Kavram

Scope of Practice: Informed Consent
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