A nurse is reinforcing teaching with a newly licensed nurse about informed consent. Which of the following statements should the nurse make?
"The client can revoke consent even after the procedure has begun."
"The nurse is responsible for obtaining informed consent.”
"Consent must be obtained from a family member if a client has a mental illness."
"The charge nurse will explain the risks of the procedure to the client.”
The Correct Answer is A
Rationale:
A. "The client can revoke consent even after the procedure has begun.": Clients have the legal right to withdraw consent at any time, including during a procedure. Respecting this autonomy is essential, and healthcare providers must stop the procedure if the client revokes consent.
B. "The nurse is responsible for obtaining informed consent.": Obtaining informed consent is the responsibility of the provider performing the procedure, who must ensure the client understands the risks, benefits, and alternatives. Nurses typically witness and verify the signature but do not obtain consent.
C. "Consent must be obtained from a family member if a client has a mental illness.": Consent depends on the client’s decision-making capacity, not solely on the presence of mental illness. If the client is competent, they can provide consent; if not, a legally authorized representative may be involved.
D. "The charge nurse will explain the risks of the procedure to the client.": Explaining procedure risks is the responsibility of the healthcare provider performing the procedure, not the charge nurse. This ensures that the explanation is accurate and comprehensive.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. “Provide homeschooling for your child.” Most children with cystic fibrosis can attend school with proper care and infection control practices in place. Encouraging normal socialization and routine helps support emotional and developmental health.
B. "Ensure that your child does not receive the influenza vaccine annually”: Annual influenza vaccination is strongly recommended for children with cystic fibrosis due to their higher risk of respiratory infections and complications. Avoiding the vaccine puts the child at greater risk.
C. "Do not include your child when making decisions about treatment.” School-age children benefit from age-appropriate involvement in their care, which promotes cooperation, reduces anxiety, and builds a sense of control and responsibility over their health.
D. "Have your child wear a medical identification wristband.” Wearing a medical ID helps ensure that in emergencies, responders are aware of the child's condition and can provide appropriate, timely care. This is a safety measure recommended for children with chronic health conditions.
Correct Answer is D
Explanation
Rationale:
A. Measles, mumps, and rubella (MMR): MMR is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of fetal harm. It should be given at least one month prior to conception or postpartum if immunity is needed.
B. Varicella (VAR): Like MMR, the varicella vaccine is live and should not be administered during pregnancy. Pregnant individuals without evidence of immunity should receive it postpartum to protect against future infections.
C. Tetanus diphtheria and pertussis (Tdap): Tdap is recommended during each pregnancy but typically between 27 and 36 weeks of gestation to maximize passive antibody transfer to the fetus. At 16 weeks, it would not yet be indicated.
D. Inactivated influenza (IV): The inactivated flu vaccine is recommended for all pregnant clients during flu season, regardless of the trimester. It protects both the pregnant individual and the fetus from complications related to influenza infection.
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