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Zorluk: KolayAdvance Directives and Informed Consent

A client arrives at a community health center for a minor surgical biopsy. When handed the informed consent document, the client hesitates and asks, 'What are the exact risks if I decide not to do this?' Which action should the practical nurse take next?

  1. A
    Review the clinic's educational pamphlet about biopsy risks with the client
  2. Request that the prescribing practitioner return to the room to address the client's questionsCevap
  3. C
    Direct the client to sign the document while waiting for the practitioner to return
  4. D
    Ask the unit charge nurse to explain the potential complications of refusing the biopsy

Cevap

The correct action is to request that the prescribing practitioner return to the room to address the client's questions.
The provider performing the procedure is legally responsible for explaining the risks, benefits, and alternatives. The practical nurse's role is strictly to witness the signature and verify voluntary consent. If the client has questions regarding the procedure, the nurse must ensure the provider addresses them before the document is signed.

Adım Adım Çözüm

1
Analyze the client's statement to determine their level of understanding.
The client asking about the exact risks of refusal indicates they do not fully comprehend the procedure's implications.
Informed consent legally requires the client to have a clear understanding of the risks, benefits, and alternatives before signing.
2
Identify the practical nurse's scope of practice regarding informed consent.
The practical nurse is strictly responsible for witnessing the signature and verifying voluntary agreement, not explaining medical risks.
Providing details about the procedure and its associated risks is the sole legal responsibility of the healthcare provider performing the intervention.
3
Determine the appropriate nursing intervention.
The nurse must halt the signing process and ensure the provider speaks with the client.
The provider must directly address the client's questions so that true informed consent can be obtained prior to the procedure.

Anahtar Kavram

The practical nurse's role in informed consent is limited to witnessing the signature and verifying the client's voluntary agreement. Only the healthcare provider can explain risks, benefits, and alternatives.
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