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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This response acknowledges the friend's concern and respects Mary's privacy, but it implies that Mary is indeed having a difficult time, which is a breach of confidentiality. The nurse should not provide any information about the client's situation, even indirectly.
Choice B reason: This response directly shares information about Mary's condition, which is a violation of client confidentiality. The nurse must not disclose any details about a client's health status to someone who is not authorized to receive that information, regardless of their relationship with the client.
Choice C reason: This response is the most appropriate because it clearly states that the nurse cannot discuss any client situation. It respects client confidentiality and adheres to professional and legal standards of privacy.
Choice D reason: While this response directs the neighbor to ask Mary directly, it avoids the issue of confidentiality by not giving any information. However, it is less clear and professional compared to simply stating that the nurse cannot discuss client situations. The response should be straightforward and focused on upholding confidentiality.
Correct Answer is A
Explanation
Choice A reason: This statement is incorrect because estrogen therapy may not effectively reduce the growth of facial hair in transgender women. Additional treatments, such as laser hair removal or electrolysis, may be needed to address facial hair growth.
Choice B reason: This statement is correct because estrogen therapy can increase the risk of migraine headaches in some individuals. This potential side effect should be discussed with clients considering estrogen therapy.
Choice C reason: This statement is correct because taking estrogen as prescribed can help decrease muscle mass, which is one of the desired effects of feminizing hormone therapy for transgender women.
Choice D reason: This statement is correct because estrogen therapy can cause infertility. Transgender women undergoing estrogen therapy should be informed about this potential outcome and consider fertility preservation options if they wish to have biological children in the future.
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