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. Eating twice in a week may be an indicator of poor self-care but is not immediately life-threatening or concerning in a manic episode.
B. Speaking in rhyming sentences may be a sign of pressured speech, which is common in mania, but it is not as concerning as other symptoms.
C. Not bathing for two days is poor self-care but can be part of a manic episode and is not life- threatening.
D. Inappropriate sexual comments are a sign of poor judgment and lack of impulse control, which should be reported to the provider to address in the treatment plan.

A. "You might experience confusion for a few hours after treatment." B. "This therapy works as a cure for major depressive disorders." C. "You will be awake and alert during the procedure." D. "This therapy will stimulate the vagus nerve to improve your mood."

Correct Answer is A

Explanation

A. Confusion after electroconvulsive therapy (ECT) is a common short-term side effect. This typically resolves within a few hours after the procedure.
B. ECT is not a cure for major depressive disorder, but it is a highly effective treatment for individuals who have not responded to other forms of treatment.
C. ECT is performed under general anesthesia, and the client will not be awake or alert during the procedure.
D. ECT does not stimulate the vagus nerve; rather, it involves electrical stimulation of the brain to induce a seizure, which has been shown to improve mood in individuals with severe depression.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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