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Zorluk: OrtaAdvance Directives and Informed Consent

An older adult resident at an extended care facility is scheduled for an elective cataract extraction. The attending physician has just completed explaining the surgical risks and benefits to the resident. What actions are within the legal scope of practice for the practical nurse regarding the informed consent process? Select all that apply.

  1. A
    Clarifying the alternative treatment options if the resident declines the surgery.
  2. Witnessing the resident physically affixing their signature to the consent document.Cevap
  3. C
    Evaluating whether the resident possesses the comprehensive cognitive capacity to consent.
  4. Confirming that the resident is agreeing to the surgical procedure voluntarily.Cevap

Cevap

The practical nurse is legally permitted to witness the resident physically signing the document and to confirm that the resident is agreeing to the procedure voluntarily.
The practical nurse's legal role in the informed consent process is to act as a witness. This involves directly observing the client physically sign the document and verifying that the client is signing it voluntarily without coercion.

Adım Adım Çözüm

1
Identify the role of the healthcare provider in the informed consent process.
The provider is strictly responsible for explaining the procedure, outlining the risks and benefits, offering alternative treatments, and assessing the client's capacity to consent.
Establishing the provider's legal boundaries helps rule out actions that are outside the scope of nursing practice.
2
Determine the specific legal responsibilities delegated to the practical nurse.
The practical nurse's role is strictly to act as an advocate and a witness. This involves verifying the client's identity, ensuring the signature is authentic, and confirming the decision is voluntary.
Practical nurses do not obtain the initial consent, perform complex cognitive assessments, or explain the medical details of the surgical procedure.

Anahtar Kavram

The practical nurse's role in informed consent is limited to witnessing the client's signature and ensuring the consent is given voluntarily, whereas the provider is responsible for explaining the procedure and alternatives.
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