A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?
Nonverbal behavior indicates agreement.
The nurse's signature indicates they witnessed the client's signature.
Consent can be verbal or written.
A client must understand risks and benefits of the proposed treatment.
The Correct Answer is A
Rationale:
A. Implied consent occurs when a client’s actions or nonverbal behavior indicate agreement to care. For example, extending an arm for a blood draw implies consent.
B. A nurse’s signature on a consent form indicates that the nurse witnessed the client’s signature, but this refers to informed consent, not implied consent.
C. Verbal or written consent describes express consent, not implied consent.
D. Understanding risks and benefits is part of informed consent, which requires explanation by the provider—not implied consent.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. A health care surrogate (or durable power of attorney for health care) does not have to be the oldest child; the client chooses the person they trust most to make decisions.
B. Advance directives are flexible and can be altered or revoked by the client at any time, as long as the client is competent.
C. A living will outlines the client’s treatment preferences, but it does not designate who will speak for the client. That role belongs to a health care proxy/surrogate.
D. Signing advance directives does not remove the client’s right to make decisions. The client retains autonomy as long as they are capable of decision-making.
Correct Answer is A
Explanation
Rationale:
A. Restraints should always be tied to a part of the bed frame that moves with the client (not to side rails), using a quick-release knot to ensure client safety.
B. A square knot is unsafe because it is difficult to untie quickly in an emergency. Quick-release knots should be used instead.
C. Restraints must be removed at least every 2 hours (not every 4) to assess skin, circulation, and provide ROM exercises.
D. A provider’s prescription for restraints must be time-limited and specific; prescriptions "as needed" (PRN) are not allowed.
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