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Zorluk: KolayInformed Consent

A client on a psychiatric unit is scheduled for electroconvulsive therapy (ECT). As the nurse presents the informed consent document, the client asks, "What are the other treatment options if I decide not to do this?" Which of the following is the most appropriate action by the nurse?

  1. Contact the primary healthcare provider to discuss alternative treatments with the client before obtaining the signatureCevap
  2. B
    Explain the various pharmacological alternatives available so the client can make an informed decision
  3. C
    Tell the client not to worry because the healthcare team has chosen the most effective treatment plan
  4. D
    Instruct the client to sign the form now and assure them the provider will answer their questions prior to the procedure

Cevap

Contact the primary healthcare provider to discuss alternative treatments with the client before obtaining the signature.
The correct action is to notify the provider. In the informed consent process, the nurse acts as a witness and client advocate. If the client has questions about the procedure, risks, benefits, or alternatives, the nurse must not obtain the signature. Instead, the nurse must contact the healthcare provider to return and provide the necessary information before the client signs.

Adım Adım Çözüm

1
Assess the client's understanding of the procedure.
The client asks about alternative treatments, indicating a lack of full understanding.
The nurse's role in informed consent is to witness the signature and verify that the client is competent and fully informed.
2
Determine the appropriate scope of practice to address the knowledge deficit.
Explaining alternatives is the responsibility of the provider, not the nurse.
The healthcare provider performing the procedure is legally obligated to explain risks, benefits, and alternatives.
3
Take action to protect the client's rights.
The nurse halts the consent process and contacts the provider.
The client cannot give legally valid informed consent until all their questions regarding the treatment have been answered by the provider.

Anahtar Kavram

The nurse's role in informed consent is to act as a witness and advocate, ensuring the client has received all necessary information from the provider before signing.
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