The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

"I should be sure the patient has no questions before they sign the consent."

"I can witness the patient's signature on the consent."

"Consent is good for 30 days."

"This protects the hospital from all lawsuits."

Answer and Explanation

The Correct Answer is D

Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.

Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.

Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.

Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.

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Correct Answer is A

Explanation

Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.

Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.

Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.

Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.

A. Divorce at age 50 B. Whatever the patient says is stressful C. Loss of job at age 55 D. Gallbladder surgery at age 60

Correct Answer is B

Explanation

Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.

Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.

Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.

Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.

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The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

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Naxlex Comprehensive Predictor Exams

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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