A nurse in a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?
Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation.
A nurse can explain the benefits and risks of treatment to a client to obtain informed consent.
Informed consent must include information about potential alternative treatments that are available to the client.
Implied consent cannot be assumed until a client verbalizes their desire to receive treatment.
The Correct Answer is C
A. "Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation." In emergencies, implied consent is assumed if immediate treatment is necessary to prevent harm.
B. "A nurse can explain the benefits and risks of treatment to a client to obtain informed consent." Only the provider (physician, NP, or PA) can obtain informed consent; the nurse can reinforce and clarify information but not obtain it.
C. "Informed consent must include information about potential alternative treatments that are available to the client." Informed consent requires the provider to discuss potential alternative treatments, risks, benefits, and consequences of refusal.
D. "Implied consent cannot be assumed until a client verbalizes their desire to receive treatment." Implied consent can be assumed based on actions, such as extending an arm for a blood draw.
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Related Questions
Correct Answer is B
Explanation
A. Avoid eye contact with the client to prevent the client from feeling awkward. Avoiding eye contact may come off as dismissive and can hinder rapport-building.
B. Remain silent after asking the client a question to allow the client a chance to respond. Using therapeutic silence gives the client time to gather their thoughts and feel heard.
C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. Open-ended questions encourage communication and help establish trust.
D. Have music on in the background to distract the client from being anxious. Music might be a distraction rather than a rapport-building tool, as it may prevent active listening.
Correct Answer is A
Explanation
A. "Competency and capacity are often discussed as being the same thing, but they are different." Competency is a legal determination made by a court, while capacity is a clinical assessment made by healthcare providers. Although they are related, they are distinct concepts.
B. "Capacity and competency are the same thing and can be used interchangeably." This is incorrect because capacity refers to a person's ability to make a decision at a specific moment, while competency is a broader legal determination regarding decision-making ability.
C. "A client who has been deemed legally incompetent can provide informed consent for treatment." A legally incompetent client cannot provide informed consent. Instead, a legally designated surrogate (guardian or power of attorney) makes medical decisions on their behalf.
D. "Competency and capacity are rarely a concern when caring for clients who have a mental illness." Mental illness can impact decision-making capacity, making assessments crucial. Competency and capacity evaluations are common in mental health settings, especially for clients with cognitive impairment or psychosis.
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