A nurse in a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?

Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation.

A nurse can explain the benefits and risks of treatment to a client to obtain informed consent.

Informed consent must include information about potential alternative treatments that are available to the client.

Implied consent cannot be assumed until a client verbalizes their desire to receive treatment.

Answer and Explanation

The Correct Answer is C

A. "Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation." In emergencies, implied consent is assumed if immediate treatment is necessary to prevent harm.

B. "A nurse can explain the benefits and risks of treatment to a client to obtain informed consent." Only the provider (physician, NP, or PA) can obtain informed consent; the nurse can reinforce and clarify information but not obtain it.

C. "Informed consent must include information about potential alternative treatments that are available to the client." Informed consent requires the provider to discuss potential alternative treatments, risks, benefits, and consequences of refusal.

D. "Implied consent cannot be assumed until a client verbalizes their desire to receive treatment." Implied consent can be assumed based on actions, such as extending an arm for a blood draw.

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Correct Answer is C

Explanation

A. Resolution phase: The resolution phase is the final phase when the client gradually takes control of their care and prepares for discharge.

B. Identification phase: The identification phase is when the client identifies problems and begins to develop a sense of belonging with the nurse.

C. Orientation phase. The orientation phase is when the nurse collects data, assesses knowledge, establishes trust, and collaborates with the client to develop mutual goals.

D. Exploitation phase : The exploitation phase (working phase) is when the client actively engages in treatment and utilizes available resources.

A. Avoid eye contact with the client to prevent the client from feeling awkward. B. Remain silent after asking the client a question to allow the client a chance to respond. C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. D. Have music on in the background to distract the client from being anxious.

Correct Answer is B

Explanation

A. Avoid eye contact with the client to prevent the client from feeling awkward. Avoiding eye contact may come off as dismissive and can hinder rapport-building.

B. Remain silent after asking the client a question to allow the client a chance to respond. Using therapeutic silence gives the client time to gather their thoughts and feel heard.

C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. Open-ended questions encourage communication and help establish trust.

D. Have music on in the background to distract the client from being anxious. Music might be a distraction rather than a rapport-building tool, as it may prevent active listening.

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A nurse in a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

Correct Answer is C

Explanation

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

Correct Answer is B

Explanation

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