The nurse is caring for an adult client who is scheduled for surgery. The client is competent and neurologically intact. Who would be responsible for signing the informed consent?

The person granted power of attorney for healthcare

The client's emergency contact

The legal next of kin

The client

Answer and Explanation

The Correct Answer is D

Choice A reason: The person granted power of attorney for healthcare would be responsible for signing the informed consent only if the client is unable to make decisions for themselves due to incompetence or incapacity. Since the client in this scenario is competent and neurologically intact, the power of attorney is not applicable.

Choice B reason: The client's emergency contact is not authorized to sign informed consent unless they hold legal power of attorney or the client is incapacitated and unable to make decisions. The emergency contact's primary role is to be contacted in emergency situations, not to make medical decisions on behalf of the client.

Choice C reason: The legal next of kin would only be responsible for signing the informed consent if the client is not capable of doing so themselves. In this case, the client is competent and neurologically intact, so the next of kin's consent is not needed.

Choice D reason: The client is responsible for signing the informed consent because they are competent and capable of making their own medical decisions. Informed consent must be obtained from the client directly when they have the capacity to understand and agree to the proposed treatment or procedure.

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Correct Answer is A

Explanation

Choice A reason: An incident report is necessary when a client discovers that his dentures are missing. This situation involves a loss of personal property and could potentially lead to further complications, such as the client being unable to eat properly or experiencing distress. Documenting the incident ensures proper follow-up and resolution.

Choice B reason: While identifying a broken piece of equipment is important and should be addressed, it does not typically require an incident report unless the equipment failure has directly caused harm or posed a significant risk to a client or staff member. Reporting the issue through maintenance channels is usually sufficient.

Choice C reason: A disagreement between the nurse and the nursing supervisor about staffing is an internal issue that should be addressed through appropriate channels such as team meetings or discussions with management, rather than an incident report.

Choice D reason: A staff member not showing up for their assigned shift is a staffing issue that should be managed through scheduling and human resources processes. It does not typically warrant an incident report unless it directly leads to an adverse event affecting client care.

A. "A mass casualty event occurs if a fight between visitors occurs in the emergency department." B. "Mass casualty events do not require an increase in the number of staff that are needed." C. "A mass casualty event only occurs within the health care facility and could endanger staff." D. "An event is termed a mass casualty when it overwhelms local medical capabilities." E. "Mass casualty events may require the collaboration of many local agencies to handle the situation."

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: This statement is incorrect because a mass casualty event refers to an incident that results in a large number of casualties, overwhelming the local healthcare system. A fight between visitors in the emergency department, although potentially serious, would not constitute a mass casualty event.

Choice B reason: This statement is incorrect because mass casualty events typically require a significant increase in the number of staff to manage the influx of patients and provide adequate care. Staffing levels are often augmented to ensure that the medical response can meet the demands of the situation.

Choice C reason: This statement is incorrect because mass casualty events are not limited to occurring within healthcare facilities. They can happen anywhere, such as at public events, natural disasters, or terrorist attacks, and involve a large number of casualties that overwhelm local medical resources.

Choice D reason: This statement is correct and does not indicate a need for further teaching. A mass casualty event is indeed characterized by overwhelming local medical capabilities, necessitating additional resources and support.

Choice E reason: This statement is correct and does not indicate a need for further teaching. Mass casualty events often require collaboration among multiple local agencies, such as emergency services, law enforcement, and healthcare providers, to effectively manage the situation.

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The nurse is caring for an adult client who is scheduled for surgery. The client is competent and neurologically intact. Who would be responsible for signing the informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?

Correct Answer is A

Explanation

The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)

Correct Answer is ["A","B","C"]

Explanation

The nurse is evaluating a transgender female client in the emergency department who is taking estrogen therapy. Which of the following assessment findings would be of priority concern for the nurse?

The nurse supervisor is working in a hospital that is in the path of a hurricane. Which of the following clients would be appropriate for immediate discharge?

A nurse is completing the admission process for an older adult client new to the unit. After gathering the assessment data and reviewing the health history, which of the following best promotes client safety?

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The nurse is educating a transgender female client about the expected outcomes of estrogen therapy. Which statement made by the client would indicate the need for further teaching?

A hospital is preparing to receive a large number of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge?