A nurse is caring for a client who communicates with sign language. The provider needs to obtain informed consent from the client. Which of the following actions should the nurse take?

A. Submitting an incident report to the risk manager is an appropriate action. Incident reports are used to document and investigate any deviations from standard procedures or potential safety concerns. The risk manager can then review the incident, address any procedural issues, and take necessary corrective actions.
B. Filing an anonymous report can be problematic because it may lack sufficient detail and accountability. Anonymous reports might not provide enough context for a thorough investigation or follow-up. It’s generally better to provide a detailed, identifiable report so that appropriate actions can be taken and follow-up is ensured.
C. Documenting a factual account of the incident is essential. Accurate documentation provides a clear record of what occurred, which is critical for investigations and for understanding the context of the incident.
D. While the coworker involved in the incident may be asked to provide their account of what happened, it is not typically appropriate for one nurse to request this of another directly. Incident reporting is usually handled through formal channels, and the responsibility to complete a report should be directed to the appropriate supervisory or administrative staff.
E. Identifying all witnesses is important for gathering comprehensive information about the incident. Witnesses can provide additional perspectives and details that are crucial for a complete investigation. This helps ensure that all relevant information is considered and that the situation is fully understood.

A. While it's important to understand the reasons behind a client's refusal of surgery, initiating a mental health consult might be premature unless there is clear evidence that the refusal is due to a mental health issue. This step should be considered if there are indications of mental health concerns or if the refusal is accompanied by signs of significant emotional distress.
B. Providing information about alternative treatment options and their outcomes is a crucial step. This ensures that the client is fully informed about all possible ways to manage their condition. However, this should be done in conjunction with exploring the client’s concerns and reasons for refusal.
C. Discussing the client’s concerns about the procedure is an essential action. This approach allows the nurse to understand the reasons behind the client’s refusal, whether they are related to fear, misunderstandings about the procedure, or other factors. Addressing these concerns can help the nurse provide appropriate information and support, and potentially help the client feel more comfortable with their treatment decision.
D. Informing the client about the consequences of uterine prolapse and the need for intervention is also important. However, this information should be provided in a way that respects the client’s autonomy and is part of a broader discussion.