A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective?
"A family member can interpret to obtain informed consent from a client who is deaf."
"Consent can be given by a durable power of attorney."
"The nurse can answer any questions the client has about the procedure."
"Guardian consent is required for an emancipated minor."
The Correct Answer is B
Rationale:
A. A qualified medical interpreter—not a family member—should be used to obtain informed consent from a client who is deaf to ensure accuracy and confidentiality.
B. A durable power of attorney for healthcare can legally provide consent on behalf of a client who is unable to make their own healthcare decisions, making this statement correct.
C. Nurses can clarify information but cannot provide new information or answer questions about risks, benefits, or alternatives—that is the provider’s responsibility.
D. Emancipated minors can provide their own consent; a guardian’s consent is not required.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. A health care surrogate (or durable power of attorney for health care) does not have to be the oldest child; the client chooses the person they trust most to make decisions.
B. Advance directives are flexible and can be altered or revoked by the client at any time, as long as the client is competent.
C. A living will outlines the client’s treatment preferences, but it does not designate who will speak for the client. That role belongs to a health care proxy/surrogate.
D. Signing advance directives does not remove the client’s right to make decisions. The client retains autonomy as long as they are capable of decision-making.
Correct Answer is B
Explanation
Rationale:
A. Home health provides ongoing nursing care and monitoring in the home but does not typically arrange for durable medical equipment like a wheelchair.
B. Social services coordinate community resources, including arranging for durable medical equipment such as a wheelchair, making this the correct referral.
C. Physical therapy focuses on improving strength, mobility, and teaching the client how to safely transfer and use mobility aids but does not arrange for equipment procurement.
D. Occupational therapy helps the client adapt to activities of daily living (ADLs) and may train the client in wheelchair use but does not arrange for obtaining the wheelchair itself.
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