A nurse is caring for a client who has bulimia nervosa.
Which of the following actions should the nurse take first?

Answer is B: Write the information at an 8th-grade reading level.

This is the best action for the nurse to take because it ensures that the information is accessible and understandable to a wide audience, which is suitable for the general population¹². The other options are not as effective for the following reasons:

- Use a 12-point font size: This is important for readability, but not enough for comprehension. The font size should also match the layout and design of the brochure.
- Explain medical terminology using basic, one-syllable words: This is a good approach, but it does not address the reading level of the content. The nurse should also use simple sentences and avoid jargon.
- Present information from complex to simple: This might be helpful, but it is not the most effective way to educate the public. The nurse should start with the simpler concepts and gradually build on them to explain the more complex aspects of hypertension.

The correct answer is Choice A. Notify the charge nurse about the situation.

Choice A rationale: This is the correct answer because the nurse should notify the charge nurse or the provider who is responsible for obtaining informed consent from the client. The nurse cannot obtain informed consent from a client who does not understand the purpose, risks, benefits, and alternatives of the procedure. The nurse should also respect the client’s right to refuse or withdraw consent at any time. By notifying the charge nurse or the provider, the nurse ensures that the client receives adequate information and clarification before giving consent.This is consistent with the ethical and legal principles of informed consent in nursing

Choice B rationale: This is incorrect because the nurse should not ask the client to sign the consent form anyway. This would violate the client’s autonomy and right to make informed decisions about their health. It would also expose the nurse and the provider to legal and ethical consequences for performing a procedure without valid consent. The nurse should ensure that the client understands the information provided and agrees to the procedure voluntarily. Asking the client to sign the consent form anyway would undermine the trust and communication between the client and the healthcare team.

Choice C rationale: This is incorrect because the nurse should not explain to the client that the procedure will help treat his diagnosis. This is not the nurse’s role or responsibility in the process of obtaining informed consent. The nurse should not provide information that is beyond their scope of practice or expertise. The nurse should also not persuade or coerce the client to agree to the procedure. The nurse should refer the client to the provider who can explain the rationale and evidence for the procedure and answer any questions or concerns the client may have.

Choice D rationale: This is incorrect because the nurse should not remind the client about the specifics of the procedure. This is not the nurse’s role or responsibility in the process of obtaining informed consent. The nurse should not repeat or restate information that the provider has already given to the client. The nurse should also not assume that the client has forgotten or misunderstood the information. The nurse should respect the client’s right to ask questions and seek clarification from the provider who can provide accurate and comprehensive information about the procedure.