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
Choice A rationale:
Explaining implied consent to the client's family is not the appropriate action in this situation. Implied consent typically refers to situations where consent is assumed due to the client's actions or circumstances, but it is not applicable when a client has been declared legally incompetent. The nurse should seek consent from a legally authorized representative, such as a guardian, in this case.
Choice B rationale:
Contacting the facility social worker is a good step to take when dealing with complex legal and ethical situations. However, the nurse's primary responsibility is to ensure that the client's legally authorized representative provides informed consent. This means that the client's guardian should be the one to sign the consent form, rather than the social worker.
Choice D rationale:
Asking the charge nurse to obtain informed consent is not the appropriate action because obtaining consent is typically the responsibility of the healthcare provider or a legally authorized representative. The charge nurse may not have the legal authority to provide informed consent on behalf of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct Answer is D
Explanation
The most appropriate recommendation for the client experiencing social isolation due to depression is:
d. Join a low-impact exercise class.
Here's why:
- a. Enroll in an online self-help course:While this can be beneficial for learning coping skills,it doesn't directly address the social isolation aspect.
- b. Practice guided imagery each morning:This could be helpful for emotional regulation but doesn't necessarily promote socialization.
- c. Write in a journal daily:Though journaling can be therapeutic,it's a solitary activity and may not address social withdrawal.
- d. Join a low-impact exercise class:Participating in a group activity like a low-impact exercise class provides several benefits:
- Physical activity:Improves mood and energy levels,reducing depression symptoms.
- Social interaction:Creates opportunities to connect with others with similar interests,combating isolation.
- Structure and routine:Provides a sense of purpose and accomplishment,which can be difficult with depression.
- Reduced stress:Exercise releases endorphins,which have mood-boosting effects.
Furthermore, a low-impact class caters to the client's potential lack of motivation and energy.
Therefore, encouraging participation in a low-impact exercise class is the most suitable recommendation for this client's social isolation in the context of depression.
Remember, it's crucial to consider the client's individual preferences and tailor recommendations accordingly.
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