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.
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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Related Questions
Correct Answer is A
Explanation
A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.
B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.
C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.
D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.
Correct Answer is D
Explanation
A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).
B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.
C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.
D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).
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