A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent?

Obtain the client's consent.

Describe the consequences of forgoing treatment.

Witness the client's signature.

Explain the risks and benefits of the procedure.

Answer and Explanation

The Correct Answer is C

A. Obtain the client’s consent: It is not the nurse’s responsibility to obtain the client’s consent for a procedure. This responsibility lies with the healthcare provider performing the procedure.

B. Describe the consequences of forgoing treatment: While it’s important for the client to understand the consequences of not undergoing the procedure, it is the healthcare provider’s responsibility to explain these consequences, not the nurses.

C. Witness the client’s signature: This is correct. The nurse’s role in the informed consent process is to witness the client’s signature on the consent form and to verify that the client is consenting voluntarily and appears to be competent to do so.

D. Explain the risks and benefits of the procedure: While the nurse can reinforce information, it is the healthcare provider’s responsibility to explain the risks and benefits of the procedure. The nurse should ensure that the client understands the information provided by the healthcare provider

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Correct Answer is C

Explanation

A) "The client has developed drooping facial features":
This statement provides essential information regarding a new symptom that the client has developed, which is drooping facial features. This is crucial information for the provider to understand the current status of the client's condition. However, it's more pertinent to the assessment and current issue rather than the client's background.

B) "The client may benefit from a neurology consult":
While a neurology consult may indeed be necessary based on the client's symptoms, it falls more under the assessment and recommendation components of the SBAR communication tool. The background component should focus on providing the provider with pertinent information about the client's current condition and relevant history.

C) "The client has a history of hypertension":
This statement is the correct choice. It provides important background information about the client's medical history, which is relevant to the current situation. The history of hypertension could potentially contribute to the development of drooping facial features, as certain complications of hypertension can lead to neurological symptoms.

D) “The client is disoriented and pupils are slow to respond to light":
While disorientation and pupil response are significant clinical findings, they are not mentioned in the stem of the question. The background component of the SBAR should focus on the specific information related to the current issue, which in this case is the development of drooping facial features.

A. Lean back in the chair. B. Use intermittent eye contact. C. Have a pen and paper. D. Sit side-by-side with the client.

Correct Answer is B

Explanation

(A) Lean back in the chair: Leaning back in the chair can be perceived as a relaxed posture, but it might also convey disinterest or detachment in the conversation. Active listening involves being engaged and showing interest in what the client is saying.

(B) Use intermittent eye contact: This is the most appropriate answer. Maintaining eye contact is an important part of active listening as it shows that the nurse is focused and interested in what the client is saying. However, constant eye contact can be intimidating or uncomfortable for some clients, so intermittent eye contact is often more appropriate.

(c) Have a pen and paper: Having a pen and paper can be useful for note-taking, but it is not a direct action of active listening. It’s important to maintain focus on the client during the conversation, and excessive note-taking can be distracting.

(D) Sit side-by-side with the client: While sitting side-by-side with the client can create a more relaxed and equal atmosphere, it is not a direct action of active listening. The nurse should face the client and maintain appropriate eye contact to show engagement and interest.

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A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

Correct Answer is C

Explanation

A nurse is caring for a client and using active listening skills. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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