A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately. The staff cannot reach either of the client's parents. The nurse should identify that which of the following is true about obtaining consent?
The surgeon can obtain informed consent from the client's adult cousin.
The surgeon should delay surgery until he can obtain informed consent from a parent.
The surgeon can proceed with the surgery by invoking implied consent.
The client's pediatrician can obtain implied consent.
The Correct Answer is C
A. "The surgeon can obtain informed consent from the client's adult cousin." Informed consent must be obtained from a parent or legal guardian for a minor. An adult cousin does not have the legal authority to provide consent unless they are the legal guardian of the minor, which is not indicated in this scenario.
B. "The surgeon should delay surgery until he can obtain informed consent from a parent." Delaying surgery in an emergency situation could endanger the client's life or health. In such cases, waiting for parental consent is not advisable, and other legal mechanisms, such as implied consent, should be used to proceed with necessary treatment.
C. "The surgeon can proceed with the surgery by invoking implied consent." In emergency situations where the client is a minor and the parents or legal guardians are not available to provide consent, the principle of implied consent allows healthcare providers to perform life-saving procedures without explicit consent. The law recognizes that in emergencies, delaying treatment to obtain consent could result in harm, so the surgeon can proceed with the surgery.
D. "The client's pediatrician can obtain implied consent." The concept of implied consent is not something that can be "obtained" by another healthcare provider. It is a legal principle that allows healthcare providers to act in the best interest of the client during an emergency when consent cannot be obtained. The pediatrician does not have a role in obtaining or invoking implied consent in this context; it is the responsibility of the surgeon performing the emergency procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In team nursing, an RN assumes the role of a team leader or coordinator. The RN oversees and coordinates the care provided by other team members, which may include licensed practical nurses (LPNs), nursing assistants, and other healthcare professionals. The team collaborates to meet the needs of a group of clients.
B. Caring for the same clients throughout their hospitalization is more characteristic of primary nursing, where an RN takes primary responsibility for the care of a specific group of clients.
C. Linking community resources with clients to ensure quality care is more aligned with case management or community health nursing, where the focus is on coordinating services across healthcare settings and connecting clients with appropriate resources.
D. Providing every aspect of care for a group of clients during a shift is not consistent with team nursing. In team nursing, the workload is distributed among team members, and an RN typically coordinates and oversees the care provided by the team.
Correct Answer is C
Explanation
A. The statement "Nonmaleficence is doing what is good for a client" is incorrect. Nonmaleficence is the ethical principle of "do no harm." It means avoiding actions that could harm the patient and ensuring that the benefits of treatment outweigh the potential risks.
B. The statement "Fidelity means not doing anything that can harm the client" is partially correct. Fidelity is the ethical principle of faithfulness and keeping promises. It involves being loyal to patients and maintaining trust. While it is related to avoiding harm, it specifically emphasizes keeping commitments and being trustworthy.
C. The statement "Veracity means telling the truth and being honest" is correct. Veracity is the ethical principle of truth-telling and honesty. It involves providing accurate and complete information to patients, promoting transparency in communication.
D. The statement "Beneficence is being fair and impartial to a client" is incorrect. Beneficence is the ethical principle of doing good for the patient, promoting their well-being, and advocating for their best interests. Fairness and impartiality are more aligned with the principle of justice.
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