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Soru

Zorluk: OrtaInformed Consent

An 82-year-old client is being prepared for an elective cataract extraction. The ophthalmologist has discussed the procedure and left the unit. When the registered nurse hands the client the consent form to sign, the client states, "I cannot remember if they are fixing my right or left eye today. But I guess memory problems are just part of getting old. I will go ahead and sign it." Which action should the nurse take first?

  1. Document the client's statement, withhold the consent form, and contact the ophthalmologist.Cevap
  2. B
    Tell the client that the surgical team knows exactly which eye to operate on and there is no need to worry.
  3. C
    Witness the signature, as mild forgetfulness regarding minor details is an expected physiological change in older adults.
  4. D
    Instruct the unlicensed assistive personnel (UAP) to read the operative notes aloud to the client to refresh their memory before signing.

Cevap

Document the client's statement, withhold the consent form, and contact the ophthalmologist.
For informed consent to be legally valid, the client must demonstrate a clear understanding of the specific procedure, including the correct surgical site. The registered nurse's role is to witness the signature voluntarily given by a competent and informed client. If the client exhibits confusion or a lack of understanding, the nurse must act as a client advocate by withholding the consent form and notifying the healthcare provider, who holds the legal responsibility to clarify the medical details.

Adım Adım Çözüm

1
Assess the client's level of understanding regarding the planned surgical procedure prior to witnessing the signature.
The client demonstrates confusion about the specific operative site (right versus left eye).
The nurse's primary role during the informed consent process is to verify that the client fully comprehends the procedure and is signing voluntarily.
2
Identify the ethical and legal implications of the client's statement.
The client is currently unable to provide legally valid informed consent due to a fundamental lack of understanding regarding the exact nature of the surgery.
Informed consent requires the client to be competent, willing, and fully informed about the specific procedure, including the correct anatomical site.
3
Determine the appropriate nursing intervention to protect the client.
The nurse halts the consent process and notifies the healthcare provider.
It is the healthcare provider's legal responsibility to explain the procedure and answer clinical questions. The nurse acts as an advocate by ensuring the provider returns to clarify the details before any signatures are collected.

Anahtar Kavram

The registered nurse acts as an advocate during the informed consent process by verifying client comprehension and notifying the healthcare provider if the client expresses confusion or misunderstanding.
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Informed Consent

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