The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.
The nurse is likely not liable because surgery is beyond the nurse's scope of practice.
The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form.
The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team.
The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery
The Correct Answer is B
A. While it’s true that surgery itself is beyond the nurse's scope of practice, liability can still arise from the actions taken in relation to the consent process. The issue is not about the surgery itself but about the responsibility associated with witnessing the consent.
B. The nurse’s role in this context is to witness the client’s signature, not to guarantee the client’s understanding of the procedure or the risks involved. The witness signature generally indicates that the nurse observed the client signing the document but does not imply that the nurse ensured the client understood all aspects of the surgery.
C. Cosigning a consent form does not make the nurse an equal member of the surgical team in terms of decision-making or responsibilities. The nurse's role as a witness is limited to observing the signing process.
D. The nurse’s signature does not imply that they confirmed the client's understanding of the risks involved. The responsibility for explaining the risks and ensuring the client’s understanding typically falls to the physician or surgeon.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sickle cell disease is classified as an autosomal recessive disorder. This means that a child must inherit two copies of the mutated gene (one from each parent) to express the disease. Individuals with one normal and one mutated gene are carriers (sickle cell trait) but do not exhibit symptoms.
B. X-linked genetic disorders are caused by mutations on the X chromosome and typically affect males more severely than females, as males have only one X chromosome. Sickle cell disease is not located on the X chromosome; therefore, it is not classified as X-linked.
C. In an autosomal dominant disorder, only one copy of the mutated gene is needed for an individual to express the disease. Sickle cell disease does not follow this inheritance pattern; it requires two copies of the mutated gene, which makes this classification inaccurate.
D. While sickle cell disease is indeed an inherited disorder, this term is broad and could apply to many genetic conditions. It describes the general nature of the disease but does not provide the specificity that "autosomal recessive disorder" does.
Correct Answer is D
Explanation
A. While suggesting an in-service could be beneficial in the long run, it is not an immediate or direct approach to addressing the specific behavior observed. This statement deflects from the issue at hand and may not convey the urgency needed in correcting the aide's behavior.
B. This statement is somewhat vague and could come across as patronizing or defensive. While it points out the need to be mindful of tone, it does not specifically address the emotional impact of the aide’s behavior on the client or acknowledge the situation effectively. It focuses on appearance rather than the well-being of the patient.
C. This approach does not address the underlying issue of the aide's behavior and may create a confrontational or punitive atmosphere. It can also foster resentment rather than promote learning and improvement. It's essential to address behaviors directly instead of merely reassigning responsibilities.
D. This statement is direct and addresses the specific behavior observed. It expresses concern without being accusatory and opens a dialogue about the aide’s communication style. This approach encourages reflection and offers the aide an opportunity to discuss and understand how their tone may affect clients, especially those with cognitive impairments like Alzheimer's.
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