The parents of a 7-year-old child diagnosed with leukemia are discussing a proposed experimental chemotherapy trial with the pediatric oncologist. The oncologist explains the risks and alternatives, then leaves the room. Before signing the document, the parents tell the registered nurse, "We don't understand half of what the doctor just said, but we'll sign whatever it takes to save our child." Which of the following actions should the registered nurse take in this situation?
- Request that the pediatric oncologist return to the room to further clarify the trial details with the parents.Cevap
- BReview the risks and benefits of the experimental trial with the parents to ensure they fully understand.
- CTell the parents, "You are making the best decision for your child's future by trying this new therapy."
- DWitness the signatures on the consent form because the parents have expressed a clear intent to consent.
Cevap
The registered nurse should request that the pediatric oncologist return to the room to further clarify the trial details with the parents.
The correct action demonstrates the nurse's role as a client advocate. In the informed consent process, the registered nurse acts as a witness to the client's signature and verifies that the client (or surrogate) is competent and understands the procedure. Because the parents explicitly stated they did not understand the information, true informed consent has not been reached. The nurse must halt the signing process and contact the healthcare provider to return and provide further education. It is not within the nurse's scope of practice to take on the provider's duty of explaining the procedure, risks, and alternatives.
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Informed Consent