One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)
The patient has a right to choose not to consent.
Consent must not be coerced.
Consent for life-saving surgery is always mandatory.
The patient must sign the consent because the doctor wants him to sign.
Minors can consent to procedures in the absence of parents or guardians.
Correct Answer : A,B
A. The patient has a right to choose not to consent: Patients have the right to refuse consent if they do not understand the procedure or do not agree to it, reflecting the principle of autonomy in medical decision-making.
B. Consent must not be coerced: Consent must be given voluntarily and with full understanding; coercion undermines the validity of the consent.
C. Consent for life-saving surgery is always mandatory: While consent is crucial, there are exceptional cases where procedures may be performed without explicit consent if a patient is incapacitated and the surgery is urgent.
D. The patient must sign the consent because the doctor wants him to sign: The patient's understanding and voluntary consent are more important than the doctor's request; the process cannot be rushed or forced.
E. Minors can consent to procedures in the absence of parents or guardians: Generally, minors cannot consent to medical procedures without parental or guardian consent, with some exceptions based on state laws and the nature of the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Follower: A follower role implies taking direction from others rather than initiating supportive actions independently.
B. Manager: A manager focuses on administrative and organizational tasks, while the described action is more aligned with providing emotional and spiritual support.
C. Laissez-faire: This leadership style involves minimal intervention, whereas the nurse is actively engaging with the family to offer support and resources.
D. Leader: By recognizing the family's needs and proactively offering support, the nurse demonstrates leadership in providing holistic, patient-centered care.
Correct Answer is C
Explanation
A. Establishing a journal club: A journal club provides a collaborative environment for staff to review and discuss current research, promoting evidence-based practice.
B. Encouraging staff to join a professional association: Professional associations often offer resources, education, and networking opportunities that support evidence-based practice.
C. Instituting mandatory writing assignments discussing a chosen best-practice article: Mandatory writing assignments can be seen as punitive and may not be well-received by staff, potentially leading to resistance rather than engagement.
D. Creating an incentive program for staff to pursue a specialty certification: Offering incentives for specialty certification encourages professional development and can enhance evidence-based practice among staff.
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