Examkin

Soru

Zorluk: ZorInformed Consent

A preoperative unit nurse enters a client's room to complete the final surgical checklist for a scheduled parathyroidectomy. The operating provider just left the room after discussing the procedure. The client is crying and states, "I really do not want my neck cut open, but the doctor insisted that my airway will collapse by tomorrow if I refuse." Which action must the nurse prioritize?

  1. A
    Administer the prescribed on-call intravenous anxiolytic to help calm the client before proceeding with the paperwork.
  2. B
    Explain to the client that while all surgeries carry risks, the surgical team performs this exact operation multiple times a day.
  3. Halt all surgical preparations and immediately page the operating provider to report that the client is experiencing perceived coercion.Cevap
  4. D
    Assign an unlicensed assistive personnel to remain at the bedside to provide continuous emotional support while the client signs the paperwork.

Cevap

The priority action is to halt all surgical preparations and immediately page the operating provider to report that the client is experiencing perceived coercion.
The correct action is to halt all surgical preparations and contact the operating provider. The registered nurse's specific legal responsibility in the informed consent process is to witness the signature and validate that the consent is authentic, the client is competent, and the decision is entirely voluntary. The client's statement clearly indicates a feeling of coercion or extreme duress, which strictly invalidates the voluntary nature of the consent. The nurse must fulfill the role of client advocate by stopping the process and ensuring the provider addresses these critical concerns before any procedure takes place.

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1
Analyze the client's statement regarding the upcoming surgery.
The client expresses a direct lack of desire for the procedure ("I really do not want...") paired with a statement of perceived threat or extreme pressure from the provider.
Identifying the psychological state and voluntariness of the client is a mandatory component of the nurse's role in the informed consent process.
2
Evaluate the legal requirements for valid informed consent.
Informed consent must be given by a competent individual, must be fully informed, and must be completely voluntary (free from coercion, manipulation, or extreme duress).
The nurse's signature on a consent form serves as a legal witness that the client's signature is authentic, the client is competent, and the decision is strictly voluntary.
3
Determine the highest priority nursing intervention.
The nurse must act as an advocate, pause the preoperative process, and contact the operating provider to reassess the client and resolve the feelings of coercion before any consent is considered valid.
Proceeding with the checklist, delegating the task, or administering mind-altering medications would violate ethical principles, legal mandates, and client safety priorities.

Anahtar Kavram

The nurse's role as a client advocate in ensuring informed consent is completely voluntary and free from coercion.
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Informed Consent

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