A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

Explain implied consent to the client's family.

Contact the facility social worker to obtain the consent.

Request that the client's guardian sign the consent.

Ask the charge nurse to obtain informed consent.

Answer and Explanation

The Correct Answer is C

A.   Implied consent is not appropriate in cases where a client is legally incompetent. A guardian or legal representative must provide consent in such cases.
B.   The social worker can assist with ensuring the appropriate process is followed, but the final consent must be obtained by the legal guardian or representative.
C.   If the client is legally incompetent, their guardian or legal representative must provide informed consent on their behalf. This is the appropriate and legally sound action.
D.   The charge nurse is not responsible for obtaining informed consent for a legally incompetent client. This responsibility lies with the legal guardian or representative.

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Correct Answer is D

Explanation

A. Consent for medical procedures must come directly from the client if they are capable of making informed decisions. Obtaining consent from the family is not appropriate unless the client is unable to consent.
B. Having another nurse review the procedure may be helpful, but the nurse's primary responsibility is to ensure the client understands their right to make decisions about their care.
C. Encouraging the client to undergo a procedure is not appropriate when the client has expressed their refusal. The nurse should focus on exploring the client's concerns and respecting their autonomy.
D. The nurse should inform the client that they have the legal right to refuse treatment at any time, supporting the client's autonomy and providing reassurance that their decision will be respected.

A. Change the subject when the client becomes upset. B. Allow the client unlimited time for the grieving process. C. Discourage the client from forming new relationships. D. Offer the client advice about various treatment choices.

Correct Answer is B

Explanation

A. Changing the subject when the client becomes upset dismisses their emotions and may hinder effective communication. The nurse should be present and allow the client to express their feelings.
B. Allowing the client unlimited time for the grieving process is appropriate, as everyone grieves differently, and the client may need time to process the diagnosis.
C. Discouraging the client from forming new relationships is not supportive. Relationships can provide comfort and support during challenging times.
D. Offering advice about treatment options should be done in collaboration with the healthcare provider. It may not be appropriate at this time if the client is more focused on emotional responses to the diagnosis.

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A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

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