Practice Quiz

NCLEX-RN

Category - Care Management

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While Nina the New Nurse prepares a 24-year-old female client for complete hysterectomy, the client states, “I don’t understand what the rush is; why isn’t there time for a second opinion? I feel like I’m being rushed into such a permanent decision.” Which one or more of the following is an appropriate nursing action for Nina to take in response?
  1. Notify the surgeon of the client’s questions.
  2. Say to the client, “You should trust the doctor and stop asking questions.”
  3. Say to the client, “It seems you feel rushed into this decision. I can try to answer some of your questions; what answers I don’t have, the surgeon will discuss with you. If you still don’t feel comfortable, the option of cancelling the surgery is always yours.”
  4. Say to the client, “I understand what you’re feeling. I had the same surgery when I was just a little older than you.”
Explanation
Answer: A and C - The client is expressing confusion regarding the scheduled procedure. As this client’s advocate, it is Nina’s duty to provide the client with unbiased information to enable the client to reach an autonomous decision. An individual must be willing to take part in the situation in order to give free consent. Free consent can be influenced by internal or external constraints.
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