A charge nurse is providing an in-service about clients' rights to a group of staff nurses. Which of the following responses by a staff nurse indicates an understanding of the teaching?
"A client may change their mind about having a procedure."
"A client who is admitted requires completion of a living will."
"A client who is confused can refuse a physical restraint."
"A client must provide informed consent before any emergency procedure."
The Correct Answer is A
A. Clients have the right to withdraw consent and refuse treatment at any time, even after initially agreeing to a procedure. This reflects an understanding of autonomy and informed decision-making.
B. Clients are not required to complete a living will upon admission. They should be offered the opportunity to do so, but it is voluntary.
C. A confused client’s ability to refuse restraints depends on their mental capacity. If the client lacks decision-making capacity and poses a safety risk, restraints may be used as a last resort with appropriate justification and documentation.
D. In emergency situations where delaying treatment would pose a threat to life or safety, informed consent is not required—treatment may proceed under implied consent.
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Related Questions
Correct Answer is D
Explanation
A.Dentures are usually removed before surgery to prevent choking or airway obstruction.
B.Jewelry, including ankle bracelets, should be removed before surgery regardless of anesthesia type to prevent injury or loss.
C.Valuables should not be left with staff; clients should send them home or secure them per facility policy.
D.Leaving the wedding band at home is appropriate to reduce the risk of loss or damage during surgery.
Correct Answer is D
Explanation
A.Providing reading materials may be helpful, but it does not immediately address the client's uncertainty or uphold the principles of informed consent.
B.This response is judgmental and dismissive. It does not support the client’s autonomy or emotional needs.
C.Offering medication to relax the client avoids addressing the root concern and could impair decision-making ability.
D. This response respects the client’s autonomy and reinforces that informed consent must be voluntary and based on full understanding. The nurse should also notify the provider so they can address the client’s concerns before proceeding.
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