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Zorluk: OrtaAdvance Directives and Informed Consent

A practical nurse (PN) is working in an outpatient oncology clinic. A client is preparing for a scheduled bone marrow biopsy. Which of the following actions by the PN represent appropriate legal and ethical responsibilities regarding the informed consent process? Select all that apply.

  1. Sign the informed consent form as a witness to the client's signature.Cevap
  2. Verify that the client is signing the consent document voluntarily.Cevap
  3. C
    Explain the potential complications of the procedure if the client asks for clarification.
  4. D
    Describe alternative diagnostic options available if the client expresses hesitation.
  5. Notify the healthcare provider if the client states they do not fully understand the procedure.Cevap
  6. F
    Conduct a formal assessment of the client's cognitive capacity to ensure legal competency.

Cevap

The correct actions include signing the form as a witness, verifying the client is signing voluntarily, and notifying the healthcare provider if the client does not fully understand the procedure.
The correct actions accurately reflect the practical nurse's legal scope of practice during informed consent. The nurse's role is strictly limited to serving as a witness to the physical signature, verifying that the client is signing voluntarily without coercion, and advocating for the client by notifying the healthcare provider if the client has unmet informational needs or questions.

Adım Adım Çözüm

1
Identify the primary role of the practical nurse (PN) during the informed consent process.
The PN acts as a witness and a client advocate, verifying that the client is acting voluntarily.
The legal responsibility for obtaining consent and providing medical details rests entirely with the healthcare provider.
2
Evaluate the tasks related to providing medical information.
The PN cannot explain risks, complications, or alternative diagnostics.
Providing primary education about the procedure is outside the PN scope of practice.
3
Determine the appropriate nursing intervention when a client lacks understanding or expresses hesitation.
The PN must stop the consent process and notify the healthcare provider.
Ensuring the client is fully informed before signing is critical, and any knowledge gaps must be addressed by the provider.
4
Evaluate the task of assessing cognitive capacity.
Formal assessment of cognitive capacity is excluded from the PN's legal responsibilities.
Determining legal competency requires advanced clinical assessment skills that belong to the registered nurse (RN) or provider.

Anahtar Kavram

The practical nurse's role in informed consent is limited to witnessing the signature, verifying voluntary agreement, and advocating for the client if further clarification from the provider is needed.
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