A nurse is looking after a client who has signed an informed consent form for a procedure. Hours before the procedure, the client now says, “I’ve changed my mind and don’t want the procedure.” What should the nurse do in response?

Explain why this procedure is necessary.

Remind the client the consent form has already been signed.

Inform the provider that the client is withdrawing consent.

Discuss alternatives to the procedure.

Answer and Explanation

The Correct Answer is C

Choice A Reason

Explaining why the procedure is necessary can be part of the conversation, but it should not be the primary response. The patient’s autonomy and right to withdraw consent at any time must be respected. While providing information about the procedure’s benefits and risks is important, it should not be used to pressure the patient into proceeding against their will. The nurse’s role is to support the patient’s decision-making process, not to coerce them.

Choice B Reason

Reminding the client that the consent form has already been signed is not appropriate. Informed consent is an ongoing process, and patients have the right to withdraw their consent at any time, even after signing the form. Emphasizing the signed consent form may make the patient feel trapped or pressured, which is contrary to the principles of patient autonomy and ethical nursing practice.

Choice C Reason

Informing the provider that the client is withdrawing consent is the correct action. The healthcare provider needs to be aware of the patient’s decision to halt the procedure. This allows the provider to discuss the patient’s concerns, provide additional information if needed, and explore other options or alternatives. It ensures that the patient’s wishes are respected and that their care plan is adjusted accordingly.

Choice D Reason

Discussing alternatives to the procedure can be a valuable part of the conversation, but it should follow the patient’s expression of their desire to withdraw consent. Once the provider is informed, they can work with the patient to explore other treatment options that align with the patient’s preferences and needs. This approach respects the patient’s autonomy and supports shared decision-making.

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Correct Answer is A

Explanation

Choice A Reason:

I should promote the idea of clients getting an annual flu vaccination. Promoting annual flu vaccinations is a cost-saving measure because it helps prevent the flu, which can lead to serious health complications and hospitalizations. By encouraging clients to get vaccinated, nurses can reduce the incidence of flu-related illnesses, thereby decreasing healthcare costs associated with treating these conditions. This preventive approach aligns with cost-saving strategies in client care.

Choice B Reason:

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. Delaying the emptying of a drainable colostomy until it is three-fourths full is not a recommended practice. It can lead to leakage, skin irritation, and other complications. Proper and timely management of colostomies is essential for maintaining client comfort and preventing additional healthcare costs related to complications.

Choice C Reason:

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. While sterile technique is important in certain clinical settings, it is not typically required for routine tracheostomy care at home. Teaching clients proper clean technique is usually sufficient and more practical for home care. This statement does not demonstrate an understanding of cost-saving methods, as it may unnecessarily increase costs and complexity for clients.

Choice D Reason:

I ought to assign the task of administering closed irrigation to the assistive personnel (AP). Administering closed irrigation is a task that requires specific knowledge and skills, and it may not be appropriate to delegate this to assistive personnel. Proper delegation involves ensuring that tasks are assigned to individuals with the appropriate training and competency. This statement does not reflect an understanding of safe and cost-effective delegation practices.

A. “The patient must consent because the procedure is necessary for survival.” B. “Consent should not be forced.” C. “If the surgery is life-saving, we can proceed regardless of what the patient says.” D. “Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.”

Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

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A nurse is looking after a client who has signed an informed consent form for a procedure. Hours before the procedure, the client now says, “I’ve changed my mind and don’t want the procedure.” What should the nurse do in response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

Correct Answer is A

Explanation

Correct Answer is ["B","E"]

Explanation

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