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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While this question may provide some insight into the client's feelings, it is more focused on acceptance and may not fully assess their coping mechanisms.
B This is a practical question addressing the client's needs but does not directly assess the client's coping ability.
C. Asking about the impact of the stroke on the client's life helps assess their emotional response and coping mechanisms. It provides the nurse with a broader understanding of how the client is adjusting to their condition.
D. This question may put the client on the defensive or lead to feelings of guilt or frustration, which may hinder their coping process. The focus should be on understanding the client's emotional response rather than exploring blame.
Correct Answer is B
Explanation
A. Encouraging dependent behaviors can reinforce maladaptive behaviors in clients with borderline personality disorder. The goal is to promote independence and healthier interpersonal skills, not dependence.
B. Clients with borderline personality disorder often experience intense feelings of abandonment. Addressing and exploring these feelings in a supportive way can help the client better manage their emotions and improve social interactions.
C. Avoiding discussion of maladaptive behaviors does not help the client address these issues. It is important to discuss and provide strategies to manage and change such behaviors constructively.
D. While consistency can be helpful, assigning the same staff daily may contribute to unhealthy attachment or dependency. It is important to help the client learn to manage interpersonal interactions in various settings.
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