A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool. Which of the following information should the nurse include in the background portion of the report?

Choice A reason: This is not the correct choice because the Good Samaritan Act is a law that protects health care providers and other individuals from legal liability when they provide emergency care to someone who is injured or ill outside of a health care facility. The act does not apply to the staff in the emergency department, who are expected to follow the standards of care and obtain consent for treatment.

Choice B reason: This is the correct choice because implied consent is a type of consent that is assumed when a client is unable to give verbal or written consent due to their condition, and the treatment is necessary to save their life or prevent further harm. The staff can proceed with emergency surgery based on implied consent, as the client is unconscious and has extensive internal injuries that require immediate intervention.

Choice C reason: This is not the correct choice because a living will is a document that expresses a client's wishes regarding their end-of-life care, such as whether they want to receive life-sustaining treatments or not. A living will does not apply to the client in this scenario, who is not terminally ill or in a persistent vegetative state, and who may recover from their injuries with surgery.

Choice D reason: This is not the correct choice because nonmaleficence is an ethical principle that means to do no harm or prevent harm to the client. Nonmaleficence does not permit the staff to proceed with emergency surgery, as it does not override the need for consent. The staff should also consider the principle of beneficence, which means to do good or promote the well-being of the client.

Choice A reason: This is the correct response by the nurse. The nurse should respect the client's right to privacy and confidentiality and not disclose any information about the client's treatment plan without the client's consent. The nurse should also inform the adult child that they can ask their mother for permission to access her medical records.

Choice B reason: This is not the correct response by the nurse. The nurse should not ask the adult child what they want to know about the client's treatment, as this implies that the nurse is willing to share the information without the client's consent. The nurse should only answer the questions that the client has authorized the nurse to answer.

Choice C reason: This is not the correct response by the nurse. The nurse should not tell the adult child to speak directly to their mother about her treatment, as this may put pressure on the client to reveal information that she may not want to share. The nurse should respect the client's autonomy and decision-making regarding her treatment plan.

Choice D reason: This is not the correct response by the nurse. The nurse should not ask the client's primary care provider to speak with the adult child, as this may violate the client's privacy and confidentiality. The nurse should only involve the primary care provider if the client has given consent or if there is a legal or ethical obligation to do so.