A client tells a nurse, "I do not think I can have the recommended heart surgery because transfusions are against my religion." What is the best response of the nurse in this situation?
Prepare the client for a visit from the client's spiritual advisor.
Obtain all the information needed for the client to make an informed decision.
Tell the client that the surgery is necessary to keep them alive and is the only choice.
Have the client sign a form stating refusal of the treatment.
The Correct Answer is B
A. While involving a spiritual advisor may be helpful, the nurse’s priority is to ensure the client is fully informed before decisions are made.
B. Providing all relevant information allows the client to weigh risks and options and make an informed decision respecting their beliefs.
C. Forcing information or pressuring the client disregards their autonomy and beliefs.
D. Having the client sign refusal without thorough discussion does not support informed consent or shared decision-making.
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Related Questions
Correct Answer is C
Explanation
A. The nurse manager is not responsible for obtaining informed consent.
B. Nurses cannot obtain informed consent for procedures; this is the provider’s responsibility.
C. It is the health care provider’s legal and ethical responsibility to obtain informed consent from the client.
D. Calling the house officer may delay care and is not appropriate if the provider performing the procedure is available.
Correct Answer is A
Explanation
A. When a nurse delegates a task to a UAP, the nurse transfers the responsibility to perform the task but retains accountability for the overall outcome and ensuring the task is done correctly.
B. Nurses do have the authority to delegate tasks within the scope of practice and according to facility policies.
C. UAPs cannot function independently for all interventions; their role is limited to delegated tasks that do not require professional nursing judgment.
D. While UAPs are responsible for their actions, accountability ultimately remains with the nurse who delegates the task.
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