After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

Suggest that family members discuss the importance of the surgery with the client.

Notify the surgeon that the client wishes to withdraw informed consent for the procedure.

Document the risks of refusing the procedure in the client's medical record.

Discuss the benefits of the procedure with the client.

Answer and Explanation

The Correct Answer is B

A. Suggest that family members discuss the importance of the surgery with the client: While family support can be valuable, the decision ultimately lies with the client. It is essential for the client to feel empowered in their choices without feeling pressured by family members.

B. Notify the surgeon that the client wishes to withdraw informed consent for the procedure: The most appropriate action is to inform the surgeon of the client's decision to withdraw consent. It is the client's right to change their mind about the procedure at any time before it occurs, and the healthcare team must respect and facilitate that decision.

C. Document the risks of refusing the procedure in the client's medical record: While documenting the client's decision is important, focusing solely on the risks of refusal may not be appropriate at this time. The primary concern should be to ensure that the client's wishes are communicated to the healthcare provider.

D. Discuss the benefits of the procedure with the client: Emphasizing the benefits of the procedure may unintentionally pressure the client. It is more important to respect the client's autonomy and decision-making, ensuring they are comfortable with their choice without feeling coerced into changing their mind.

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Correct Answer is ["C","D","E"]

Explanation

A. "To harvest a client's organs, they must provide consent prior to death.": Consent can be obtained after death if the individual had previously registered as a donor or if the next of kin provides consent. Organ donation can still occur if the donor has indicated their wishes prior to passing.

B. "The donor client's provider will harvest the organs for donation.": Organ harvesting is typically performed by a specialized team trained in organ procurement, not the primary care provider. The harvesting is conducted by professionals specifically designated for that purpose, ensuring expertise and proper protocols are followed.

C. "During admission, all clients over the age of 18 should be asked about their organ donor status.": It is standard practice to inquire about organ donation status upon admission to ensure that the healthcare team is aware of the client's wishes regarding organ donation. This process helps facilitate informed discussions and planning for potential organ donation.

D. "The National Organ Transplant Act prohibits the sale and purchase of organs.": The Act emphasizes that organ donation should be voluntary and altruistic, making it illegal to buy or sell organs. This law is in place to protect the integrity of the organ donation system and ensure ethical practices.

E. "Documentation about the client's organ donor preference is placed in the electronic medical record.": Documenting the client's organ donor status in their electronic medical record ensures that healthcare providers have access to this important information. It helps to facilitate communication among healthcare providers and supports adherence to the client's wishes.

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care." B. "Once I choose a health care proxy, they will start making my health care decisions." C. "I am required to complete these documents during my hospital stay." D. "The hospital is legally required to provide me information on these documents." E. "When completed, a copy of these documents will be kept in my medical record." F. "These documents provide instructions about my care preferences."

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

Explanation

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

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After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

Nursing Test Bank

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