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.”

Answer and Explanation

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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Correct Answer is B

Explanation

Rationale:

A. "Use a home device to monitor the newborn’s respiration.": Home apnea monitors have not been proven to reduce the risk of SUID and are not routinely recommended for healthy newborns. Reliance on these devices may provide a false sense of security.

B. "Offer the newborn a pacifier during sleep times.": Using a pacifier during sleep has been shown to reduce the risk of SUID. It may help maintain airway patency and promote lighter sleep, which decreases the risk of airway obstruction.

C. "Minimize the number of middle-of-the-night feedings.": Frequent feedings are important for newborn nutrition and do not increase the risk of SUID. Reducing feedings is neither safe nor recommended.

D. "Place the newborn on a slightly inclined sleep surface.": Infants should be placed on a firm, flat sleep surface to minimize SUID risk. Inclined surfaces increase the risk of airway obstruction and are unsafe for infant sleep.

A. Request the AP to provide a return demonstration of the task B. Tell the AP to list the steps of the task. C. Ask the family if the AP performed the task correctly. D. Instruct the AP to report back once the task is complete.

Correct Answer is A

Explanation

Rationale:

A. Request the AP to provide a return demonstration of the task: Having the assistive personnel perform a return demonstration allows the nurse to directly observe their technique, ensuring the AP is competent and following proper procedures to prevent complications such as aspiration or infection.

B. Tell the AP to list the steps of the task: While verbalizing steps shows knowledge, it does not guarantee the AP can safely and effectively perform the feeding. Practical demonstration is necessary for skill verification.

C. Ask the family if the AP performed the task correctly: Family feedback may be subjective and is not a reliable method to assess the AP’s competency. The nurse should perform direct assessment.

D. Instruct the AP to report back once the task is complete: Reporting completion alone does not provide information about the quality or safety of the procedure. Direct observation is required to ensure proper technique.

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A nurse is reinforcing teaching with a newly licensed nurse about informed consent. Which of the following statements should the nurse make?

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