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.

Ask the charge nurse to obtain informed consent.

Contact the facility social worker to obtain the consent.

Request that the client's guardian sign the consent.

Answer and Explanation

The Correct Answer is D

A.   Explaining implied consent to the client's family does not address the need for obtaining informed consent for a legally incompetent client.
B.   Asking the charge nurse to obtain informed consent may not be appropriate, as the responsibility for obtaining consent typically falls on the healthcare provider or a designated individual.
C.   While the social worker may be involved in the process of obtaining consent for a legally incompetent client, it is not their sole responsibility, and the nurse should be actively involved in the process.
D.   When a client has been declared legally incompetent, consent must be obtained from the client's legally appointed guardian or surrogate decision-maker.

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Correct Answer is D

Explanation

A. Administering medications, such as atropine, requires nursing judgment and assessment of the client's condition, which should not be delegated to assistive personnel.
B. Witnessing the client's signature on the consent form ensures that the client provides informed consent for the procedure and requires nursing judgment.
C. Assessing the client's condition after the procedure involves monitoring vital signs, level of consciousness, and potential adverse reactions, which require nursing assessment and judgment.
D. Assisting the client to ambulate after the procedure is a task that can be safely delegated to assistive personnel, as long as the client's condition is stable and there are no contraindications to ambulation.

A. Report the information to local authorities. B. Avoid reporting the information provided by the client because it is confidential. C. Tell risk management about the client's plan to hurt their partner. D. Notify the provider that the client should stay longer at the facility to work on anger management.

Correct Answer is A

Explanation

A. Safety is paramount, and if a client expresses intent to harm someone, it must be taken seriously and reported to local authorities to prevent harm and ensure the safety of the potential victim.
B. Confidentiality is important, but when there is a threat to harm others, the duty to warn and protect overrides confidentiality.
C. While informing risk management may be appropriate in some situations, when there is an imminent threat of harm, immediate action is necessary, which includes reporting to local authorities.
D. Delaying discharge to work on anger management may not be sufficient to ensure the safety of the potential victim. Reporting the threat to local authorities is necessary to prevent harm.

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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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