A nurse is assisting with teaching a class about the roles and responsibilities of a case manager. Which of the following responsibilities should the nurse include?

Choice A reason: This is incorrect. Explaining the steps of a surgical procedure to a client is not unprofessional, but a professional duty of a nurse. A nurse should provide accurate and relevant information to the client about their health condition, treatment options, and expected outcomes, in order to help them make informed decisions and prepare for the procedure¹.
Choice B reason: This is incorrect. Witnessing a client consent for a surgical procedure is not unprofessional, but a professional responsibility of a nurse. A nurse should act as a witness to the client's signature on the consent form, and ensure that the consent process was conducted properly, ethically, and legally².
Choice C reason: This is the correct answer. Confirming that a client appears competent to consent to a surgical procedure is unprofessional, as it is not within the scope of practice of a nurse. A nurse cannot assess or determine the client's mental capacity or competence to consent, as this requires a medical evaluation by a physician or a psychologist³. A nurse can only observe and report the client's behavior, mood, and cognition to the health care team.
Choice D reason: This is incorrect. Verifying that a client voluntarily gave consent to a surgical procedure is not unprofessional, but a professional obligation of a nurse. A nurse should ensure that the client's consent was given freely, without any coercion, manipulation, or undue influence from others². A nurse should also respect the client's right to withdraw or change their consent at any time².

Choice A reason: This is the correct answer. Disease prevention involves activities and measures taken to reduce the occurrence and impact of specific diseases. In this scenario, the nurse is performing a blood pressure screening for a client with a family history of hypertension. This screening is a preventive measure aimed at detecting and preventing the development of hypertension, which falls under the category of disease prevention. By identifying clients at risk, healthcare providers can intervene early and implement strategies to prevent or manage the condition.
Choice B reason: This is incorrect. Health education involves providing information and knowledge to clients to help them make informed decisions about their health. It focuses on teaching individuals about health-related topics. In this scenario, the nurse is not engaged in health education but rather in blood pressure screening, which is a form of health assessment and monitoring.
Choice C reason: This is incorrect. Health promotion involves activities that encourage and empower individuals to take control of their health and well-being. It aims to enhance the overall health of the population. While blood pressure screening is a preventive measure, it does not encompass the broader concept of health promotion. It is more specific to early detection and monitoring of health conditions.
Choice D reason: This is incorrect. Holistic health refers to an approach that considers the physical, emotional, social, and spiritual aspects of an individual's well-being. It recognizes the interconnectedness of these aspects and seeks to address them in a comprehensive manner. Performing a blood pressure screening, while important, is a specific health assessment task and does not fully encompass the holistic health approach.