A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

Nonverbal behavior indicates agreement.

The nurse's signature indicates they witnessed the client's signature.

Consent can be verbal or written.

A client must understand risks and benefits of the proposed treatment.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Implied consent occurs when a client’s actions or nonverbal behavior indicate agreement to care. For example, extending an arm for a blood draw implies consent.
B. A nurse’s signature on a consent form indicates that the nurse witnessed the client’s signature, but this refers to informed consent, not implied consent.
C. Verbal or written consent describes express consent, not implied consent.
D. Understanding risks and benefits is part of informed consent, which requires explanation by the provider—not implied consent.

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Correct Answer is ["A","E"]

Explanation

Rationale:
A. Measuring urine output is a routine, stable task that can be safely delegated to an assistive personnel (AP).
B. Reinforcing teaching about the transfusion requires nursing knowledge and judgment and cannot be delegated.
C. Inserting a peripheral IV is an invasive procedure requiring nursing skill and licensure, so it cannot be delegated.
D. Checking vital signs every 15 minutes during a blood transfusion requires assessment for transfusion reactions and immediate nursing intervention, so it must be performed by a nurse.
E. Obtaining daily weights is a routine measurement that an AP can safely perform.

A. The AP uses alcohol hand antiseptic after caring for a client who has Clostridium difficile. B. The AP wears a mask when caring for a client who has varicella. C. The AP closes the door of a client who is on airborne precautions. D. The AP removes cut flowers from the room of a client who is in a protective environment.

Correct Answer is A

Explanation

Rationale:
A. Alcohol-based hand sanitizer is not effective against C. difficile spores. Hands must be washed with soap and water to physically remove the spores, making this action unsafe and requiring intervention.
B. Wearing a mask when caring for a client who has varicella is appropriate for airborne precautions.
C. Closing the door of a client on airborne precautions helps contain infectious particles and is correct.
D. Removing cut flowers from the room of a client in a protective environment is appropriate to reduce the risk of infection.

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A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

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