A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

Rationale:
A. The client agreed to the procedure voluntarily: By witnessing the signature, the nurse verifies that the client is signing the consent form without coercion, fulfilling the legal requirement that consent is given voluntarily. This does not require the nurse to provide detailed explanations of the procedure.

B. The nurse explained the surgical procedure in detail: The responsibility for explaining the procedure, risks, and benefits lies with the surgeon or provider, not the nurse witnessing the consent. Witnessing only confirms voluntary agreement.

C. The nurse explained the risks and benefits of the surgery: Explaining risks and benefits is the provider’s legal obligation. The nurse’s role is to witness the client’s signature, not to provide detailed medical explanations.

D. The client knows they may no longer refuse the procedure: Clients always retain the right to refuse a procedure, even after signing consent. Witnessing does not override the client’s autonomy or ability to change their mind.

Rationale:
A. The client exhibits a flat affect: A flat affect reflects blunted emotional expression and is typically a symptom of depression. Its persistence suggests the condition has not yet improved.

B. The client can express angry feelings: The ability to identify and express emotions, including anger, indicates improved emotional responsiveness and progress in managing depressive symptoms. This reflects increased insight and healthier coping.

C. The client experiences self-doubt when making decisions: Persistent self-doubt is a common feature of depression and suggests that the client still struggles with confidence and decision-making.

D. The client looks down when speaking to others: Avoiding eye contact and looking down are associated with low self-esteem and social withdrawal, which are characteristic of depression and indicate the condition is not yet improving.