After the nurse witnesses a preoperative client signing the surgical consent form, the nurse signs the form as a witness. Which is the legal implication of the nurse's signature on the client's surgical consent form? Select all that apply.
Verifies that the client understands the procedure that is being performed.
The client is competent to sign the consent without impairment of judgment.
The client voluntarily grants permission for the procedure to be done.
The surgeon has explained to the client why the surgery is necessary.
The client understands the risks and benefits associated with the procedure.
Correct Answer : B,C
Choice A rationale
The nurse’s signature on the surgical consent form does not verify the client’s understanding of the procedure. This responsibility lies with the physician or surgeon, who must ensure that the client is fully informed about the nature, risks, benefits, and alternatives of the procedure. The nurse’s role is to witness the client’s signature, confirming that the client has signed the form without coercion and is competent to do so.
Choice B rationale
The client’s competence to sign the consent form is a crucial aspect that the nurse witnesses. By signing as a witness, the nurse attests that the client is mentally sound and capable of making informed decisions about their medical care. This includes verifying that the client is not under the influence of substances that could impair judgment and that they understand the nature of the consent they are giving.
Choice C rationale
The client voluntarily granting permission for the procedure is another key element of the nurse’s witnessing role. The nurse’s signature confirms that the client has signed the consent form of their own free will, without any undue pressure or coercion. This ensures the validity of the consent and protects the client’s rights and autonomy in making healthcare decisions.
Choice D rationale
The explanation of the procedure, its necessity, and potential outcomes are the responsibility of the surgeon or physician. The nurse does not provide this detailed explanation but ensures that the client has had the opportunity to receive this information from the appropriate healthcare provider. The nurse’s signature does not verify that the surgeon has explained the procedure; it simply confirms the witnessing of the client’s signature.
Choice E rationale
Understanding the risks and benefits of the procedure is part of the informed consent process, which the physician or surgeon must explain to the client. The nurse’s role is to witness the client’s signature, ensuring that the client has had the opportunity to receive this information. The nurse’s signature does not confirm the client’s understanding of these details but indicates that the consent was signed voluntarily and competently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Severe motor dysfunction indicates the degree of impairment but does not determine the extent of successful habilitation. Habilitation depends on various factors, including individual capabilities, intervention quality, and environmental support.
Choice B rationale
Brain damage with CP is not progressive, meaning it does not worsen over time. However, the effects and manifestations can vary, leading to a range of functional outcomes. This provides a realistic and hopeful perspective for the child's future.
Choice C rationale
CP is indeed one of the most common permanent physical disabilities in children, but this statement does not directly address the mother's concern about the potential progression of impaired movements.
Choice D rationale
The continued development of the brain lesion is not a characteristic of CP. The brain damage is static, meaning it does not change, although its effects may become more apparent as the child grows and develops.
Correct Answer is A
Explanation
Choice A rationale
Asking the client to describe the pain is the most effective way to assess the quality of pain. This approach allows the client to provide specific details about their pain experience, including the type, intensity, and characteristics, which are essential for accurate pain management.
Choice B rationale
Identifying effective pain relief measures is important but does not directly assess the quality of pain. This step is more focused on treatment rather than the initial assessment of pain quality.
Choice C rationale
Observing body language and movement can provide additional information about the pain but is not as reliable as directly asking the client. Nonverbal cues should supplement, not replace, the client's verbal report.
Choice D rationale
Providing a numeric pain scale helps quantify the intensity of pain but does not assess the quality. Quality assessment requires a descriptive approach to understand the nature of the pain fully.
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