A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

"It is time to sign the consent so your treatment can begin."

"Have you discussed other treatments with your provider?"

"I can inform the surgeon you do not want the surgery."

"I would not have this type of surgery if I were you."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "It is time to sign the consent so your treatment can begin." dismisses the client's valid question about alternative options and does not address their concern.

B. "Have you discussed other treatments with your provider?" is an appropriate response as it encourages the client to seek information about alternatives from their healthcare provider, who can offer comprehensive options and explanations.

C. "I can inform the surgeon you do not want the surgery." does not address the client's question about alternatives and assumes the client’s decision without further discussion.

D. "I would not have this type of surgery if I were you." is a personal opinion and is not appropriate for a nurse to provide, as it is not based on the client’s individual medical needs or informed consent principles.

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Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. Verify the client understands the surgical procedure ensures the client is making an informed decision based on a clear understanding of the procedure, risks, and benefits.

B. Validate the signature is authentic is crucial to confirm that the consent form is genuinely signed by the client, indicating their agreement to proceed.

C. Confirm that the consent is voluntary ensures that the client is not coerced into giving consent, upholding the principle of autonomy.

D. Explain the surgical procedure to the client is the responsibility of the surgeon or the provider, not the nurse. The nurse’s role is to witness the consent process and ensure that the client has been provided with and understands the information.

E. Establishing that the client is able to pay is not related to the informed consent process. Financial aspects are handled separately from the consent for treatment.

A. "What do you have against me? It must be something or you wouldn't be criticizing my care." B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" D. "I am at a loss for words. I always do my best to give good care to my clients."

Correct Answer is C

Explanation

Rationale:

A. "What do you have against me? It must be something or you wouldn't be criticizing my care." is defensive and confrontational, which is not appropriate for assertive communication.

B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." is also defensive and shifts the focus away from addressing the concern directly.

C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" is an assertive response that acknowledges the concern and seeks constructive feedback.

D. "I am at a loss for words. I always do my best to give good care to my clients." is not assertive as it does not address the concern directly or invite constructive discussion.

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A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

Correct Answer is C

Explanation

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