Practice Quiz

NCLEX-RN

Category - Care Management

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Rick Rescue, RN is leading an in-service about obtaining informed consent. He asks the group, “Can someone tell me the nurse’s responsibilities in obtaining informed consent?” “Oh I know that,” Nina the New Nurse eagerly answers, “I provide a detailed description of the procedure to be performed, and then ask the client to sign the consent once I’m certain she understands.” How should Rick Rescue, RN respond?
  1. “Very good, Nina the New Nurse! It is always the professional nurse’s responsibility to provide an explanation and obtain the signature.”
  2. “Almost right; the nurse must also make sure to attach the consent to the chart prior to surgery.”
  3. “Not quite, the nurse should also sign as a witness that the client is a competent adult.”
  4. “No, it is the physician’s responsibility to explain the procedure and obtain the consent.”
Explanation
Answer: D - The legal responsibility of informing the client of a procedure, expected outcomes, and alternatives, as well as obtaining the consent for the proposed procedure, falls on the physician. It is the nurse’s job to ensure that the consent has been signed and is in the chart prior to surgery; to answer questions the client may have; to assess the client’s ability to understand the information provided; and to confirm that consent is given voluntarily by a competent adult.
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