The nurse is preparing a patient for

The nurse is preparing a patient for a procedure. The patient has signed a consent form but states, “I don’t really know anything about this procedure. I wonder if there is something else, I can do instead?” How should the nurse proceed? Try to convince the patient to go through with the procedure. Stop the preparation as the patient can revoke consent at any time. Continue with the preparation for the procedure as consent cannot be revoked. have the patient document the in writing since the original consent was written. The requirements for informed consent include: (Select All That Apply) The client must give consent voluntarily. The client must have sufficient information about the procedure/treatment and the alternatives. The client must make a decision as soon as the procedure/treatment is explained. The client must be competent to make an informed decision. A patient presents to the emergency department for treatment for severe chest pain but collapses in the registration area before consenting. Physicians and nurse rush to assist the patient. What type of consent protects these healthcare workers? Partial Expressed Implied Oral As the client is being prepped for a small procedure to remove a skin lesion, it becomes clear to the nurse that the client doesn’t fully understand the risks and benefits associated with the procedure. Which of the following describe the nurse’s role in obtaining informed consent? Explain the risks and benefits associated with the procedure. Advocate for the client by ensuring the client is making an informed decision. Describe the alternatives to the procedure. Witness the client’s signature on the consent form. A most ethical dilemmas, the solution to the dilemma requires negotiation among members of the health care team. The nurse’s point of view is valuable because: The principle of autonomy guides all participants to respect their own self-worth. Nurses develop a relationship with the client that is unique among all professional health care providers. Nurses have a legal license that encourages their presence during ethical discussions. The nurse’s code of ethics recommends that a nurse be present at any ethical discussion about client care. A nurse has explained to his client the benefits of taking medication and firmly believes that the medication is in the client’s best interest. The client understands Norman’s explanation but refuses to take the medication. The client states that the side effects of the medication cancel out any benefits. Which 2 CNO ethical values being challenged are _____ and _______. Ethical dilemmas often arise over a conflict of opinion. Once the nurse has determined that the dilemma is ethical, a critical first step in negotiating the difference of opinion would be to: Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma List the ethical principles that inform the dilemma so that negotiations agree on the language of the discussion. Ensure that the attending physician has written an order for an ethics consultation to support the ethics process. Consult a professional ethicist to ensure that the steps of the process occur in full Informed consent is generally accepted as upholding which of the CNO ethical values? (Select All That Apply) Fairness Client choice Truthfulness Client well-being Privacy and Confidentiality The CNO ethical value of Fairness indicates that: Health care resources must be equally distributed between all healthcare clients. Health care resources are allocated by objective health-related factors. Health care resources are allocated to those who are able to pay for them. Health care resources are given to those who are the most ill and in need of resource The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve this ethical conflict, the nurse knows that the first step is: Exploring reasonable courses of action Identifying people who can solve the difficulty Clarifying values related to the cause of the dilemma Collecting all available information about the situation SCIENCE HEALTH SCIENCE NURSING IOP 455

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