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Zorluk: KolayAdvance Directives and Informed Consent

A client in a long-term care facility is scheduled for a percutaneous endoscopic gastrostomy (PEG) tube placement. The provider has already discussed the procedure with the client. When the practical nurse (PN) brings the written consent form to the client's room, which action is appropriate for the PN to perform?

  1. Confirm that the client is willingly agreeing to the procedure without coercion.Cevap
  2. B
    Discuss the potential surgical complications that could occur during the placement.
  3. C
    Suggest less invasive nutritional methods as alternatives to the gastrostomy tube.
  4. D
    Evaluate the client's physiological readiness to receive procedural anesthesia.

Cevap

Confirm that the client is willingly agreeing to the procedure without coercion.
The practical nurse acts as a witness during the informed consent process. This legal responsibility involves authenticating the client's signature, verifying their identity, and ensuring they are signing the document voluntarily without any external pressure.

Adım Adım Çözüm

1
Identify the practical nurse's legal role in the informed consent process.
The PN acts solely as a client advocate and witness to the signature.
Understanding scope of practice prevents legal liability and ensures client safety.
2
Differentiate between the provider's duty and the nurse's duty.
The provider explains risks, benefits, and alternatives. The nurse ensures the client understands the explanation and signs voluntarily.
The provider is performing the procedure and holds the legal duty to inform.
3
Select the option that aligns with the PN's capacity as a witness.
Confirming voluntary agreement aligns perfectly with the appropriate nursing role.
This action does not cross into the provider's responsibility of explaining medical details or an RN's responsibility of complex assessment.

Anahtar Kavram

The practical nurse's role in informed consent is strictly limited to witnessing the client's signature, confirming their identity, and ensuring the agreement is completely voluntary.
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Advance Directives and Informed Consent

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