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. "Do you need any more resources or information?" This question focuses on resource provision rather than emotional clarification. While important, it does not specifically invite the client to explore their feelings.

B. "You feel like you have the support needed to be successful." This is a statement, not a question, and may lead the client to agree rather than express their true emotions. A better approach would involve open-ended questioning.

C. "Tell me what kind of coping skills you have." This open-ended question encourages the client to reflect on their coping mechanisms and emotional responses, facilitating deeper discussion and emotional clarification.

D. "Do you understand your next step in treatment?" This focuses on treatment adherence rather than the client’s emotions. While important for education, it does not directly encourage emotional exploration.

A. Avoid including the client's religious affiliation when discussing treatment options. B. Include each piece of collected demographic data during change-of-shift report. C. Record the client's spirituality as normal in the plan of care. D. Provide relevant demographics during a treatment team meeting.

Correct Answer is D

Explanation

A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.

B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.

C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.

D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.

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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?

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Naxlex Comprehensive Predictor Exams

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