A nurse is preparing to witness a client sign the informed consent form for a diagnostic procedure. Which of the following statements should the nurse make before the client signs the form?
"Once the form has been signed, you cannot change your mind."
"I will explain the complications of the procedure."
"I will obtain your signature which states that you understand the procedure."
"I can explain alternative treatments to you."
The Correct Answer is C
A. "Once the form has been signed, you cannot change your mind." This is incorrect as the client has the right to change their mind and withdraw consent at any time.
B. "I will explain the complications of the procedure." The nurse’s role in informed consent is to witness the signing and ensure the client understands, not to explain the procedure's details, which is the provider’s responsibility.
C. "I will obtain your signature which states that you understand the procedure." This is correct. The nurse’s role is to witness the client’s signature on the informed consent form, indicating that the client has understood the information provided by the provider.
D. "I can explain alternative treatments to you."Explaining alternative treatments is the responsibility of the provider, not the nurse.
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Correct Answer is D
Explanation
A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.
Correct Answer is B
Explanation
A. Hold sterile supplies 7.6 cm (3 in) above the sterile field. Sterile supplies should be held at least 15-20 cm (6-8 inches) above the sterile field to avoid contamination.
B. Drop sterile objects toward the center of the sterile field. This minimizes the risk of contamination by keeping the edges of the field sterile.
C. Open the first flap of the sterile tray packaging toward himself. The first flap should be opened away from the nurse to avoid reaching over the sterile field.
D. Hold bottles of sterile fluid with the label facing outward. The label should face inward (toward the nurse) to protect it from spills and ensure visibility of the label.
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