Informed Consent and Ongoing Care

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Questions and Answers

What is essential for a client to give meaningful consent for their care?

Understanding health insurance policies

Having previous medical experiences

Trusting the healthcare provider completely

Receiving adequate information, processing it, and having the opportunity to ask questions (correct)

What distinguishes an advance directive from an advance statement?

An advance directive is intended to be binding on the healthcare team (correct)

An advance statement is legally binding while an advance directive is not

An advance directive is always verbal, while an advance statement is written

An advance statement cannot specify care strategies, but an advance directive can

What might be a reason for a client to resist or oppose treatment?

Busy schedule

Preference for alternative medicine

Religious beliefs (correct)

Incomprehension of medical terms

Which scenario exemplifies a conflict of values in obtaining consent?

A mentally ill person refusing treatment Signup and view all the answers

How should healthcare providers view advance directives regarding invasive procedures?

Considering them binding if specifically stated by the client Signup and view all the answers

In which situation can a client legally withdraw their consent for treatment?

At any time, regardless of the situation Signup and view all the answers

What is the role of an advance statement in client care?

To express wishes that guide decision-making without legal obligation Signup and view all the answers

Which of the following is not a factor influencing a client's decision to refuse treatment?

Availability of the latest medical technology Signup and view all the answers

Who is primarily responsible for obtaining informed consent for nursing procedures?

The nurse who is directly providing care Signup and view all the answers

What should be written on the consent form if only the client's signature is witnessed?

Witnessed signature only Signup and view all the answers

Which of the following is a key responsibility when witnessing informed consent?

Confirming that the patient has voluntarily given consent Signup and view all the answers

In long-term care, consent is considered what type of process?

Ongoing and collaborative Signup and view all the answers

What is the first stage in the process of obtaining ongoing consent to care?

Giving information Signup and view all the answers

If a client does not understand the physician's explanation, what action should be taken?

Notify the physician for clarification Signup and view all the answers

Why is it important for the client to actively participate in their care when receiving long-term treatment?

To guarantee ongoing consent to treatment Signup and view all the answers

What is the first step in resolving issues related to obtaining consent?

Assess the client for psychosocial or physical difficulties. Signup and view all the answers

Who should carry out the consent process for procedures if a nurse anesthetist is involved?

The nurse anesthetist Signup and view all the answers

What action should be taken if a conscious adult client refuses treatment?

Document the refusal and have it witnessed. Signup and view all the answers

Informed consent involves which of the following?

The client should be provided complete information. Signup and view all the answers

During the informed consent process, what is the nurse's responsibility?

To witness the exchange between the client and the physician. Signup and view all the answers

What is a potential problem that may arise when obtaining consent?

Clients may withdraw consent after initially giving it. Signup and view all the answers

What is recommended if the client's condition is serious and consent is difficult to obtain?

Consult with legal counsel. Signup and view all the answers

What best describes the ongoing consent process in healthcare?

It includes stages like giving information and encouraging active participation. Signup and view all the answers

Which strategy is NOT suggested for resolving consent-related problems?

Force treatment upon the client if they resist. Signup and view all the answers

What is a major legal safeguard for nurses?

Providing competent nursing care Signup and view all the answers

Which precaution is NOT recommended to maintain competent nursing practice?

Providing care outside of one's education scope Signup and view all the answers

What should nurses do if they do not know the answer to a client's question?

Tell the client they will find out and follow through Signup and view all the answers

How can nurses help prevent a sense of powerlessness in clients?

By engaging clients in discussions about their care Signup and view all the answers

What is a crucial aspect of the nursing process for providing effective client care?

Assessing client needs and implementing interventions Signup and view all the answers

Why is it important for nurses to build good rapport with clients?

To keep clients informed and prevent hostility Signup and view all the answers

What should nurses do regarding their own education and experience as it relates to job descriptions?

Ensure their education and experience match their job responsibilities Signup and view all the answers

What is essential to prevent injury to clients?

Educating clients about hazards and injury sources Signup and view all the answers

What defines an ethical dilemma in nursing?

A moral problem involving mutually exclusive courses of action. Signup and view all the answers

Which of the following is NOT a source of ethical problems in nursing?

Patient's health improvement Signup and view all the answers

What is the nurse's first loyalty according to the nursing code of ethics?

The client Signup and view all the answers

How can social changes impact ethical decision-making in nursing?

They may create dilemmas regarding patient treatment access. Signup and view all the answers

What is a key characteristic of ethical dilemmas faced by nurses?

They often involve conflicting responsibilities related to patient care. Signup and view all the answers

Which situation exemplifies a potential ethical dilemma for nurses?

Deciding whether to treat an uninsured patient in need. Signup and view all the answers

Why is it challenging for nurses to ascertain proper conduct in ethical dilemmas?

Mutually exclusive actions can be justified by personal value systems. Signup and view all the answers

What role do institutional policies play in ethical dilemmas for nurses?

They can conflict with the nurse's ethical obligations to the patient. Signup and view all the answers

Study Notes

Informed consent is an agreement from a client to accept specific treatment or a procedure after receiving complete information from a health provider.
Nurses are responsible for obtaining informed consent for nursing procedures.
Witnessing the exchange between a client and a physician, ensuring the client understands provided information, and witnessing the client's signature are responsibilities for nurses in relation to medical procedures.

Ongoing consent to care involves five stages: giving information, consulting with the client, encouraging active client participation, obtaining consent to care, and facilitating the development of advance statements and/or directives from the client.
The concept of ongoing consent to care is applicable to long-term care clients to ensure their continuous agreement to treatment and care.
Active participation in care planning and review is crucial for clients receiving long-term care.

Obtaining consent can present challenges, such as clients refusing treatment, parents refusing permission for their child's treatment, dealing with mentally ill or intoxicated clients, or clients withdrawing previously given consent.
Dealing with these situations raises conflicts regarding values, rights, and responsibilities, e.g., the right to life versus the right to die.

Assess and address any psychosocial or physical difficulties influencing the client's decision.
Engage in every reasonable and lawful effort to persuade the client to accept the recommended treatment.
If a conscious and rational adult client or parent refuses consent, treatment cannot be administered without risking civil and criminal liability.
Document and witness the client's refusal.
Seek legal advice if the client's condition is serious.

Competent Nursing Care

Providing competent nursing care within legal boundaries and established agency policies and procedures is fundamental to legal protection for nurses.
Nurses must be familiar with job descriptions and ensure their education and experience meet the outlined responsibilities.
Safeguarding clients from harm through anticipating potential injury sources, educating clients about hazards, and implementing preventive measures is essential.
Employing the nursing process to accurately assess clients' needs and implement appropriate interventions is critical.
All assessments and care must be documented accurately.
Engage clients in discussions about their care and acknowledge when unable to answer their questions, promising to find the answer and ensuring it is provided.

Ethical Dilemma

Ethical dilemmas arise when two or more mutually exclusive morally correct courses of action exist, creating conflict over philosophies, values, and professional duties.
In an ethical dilemma, each alternative course of action can be justified based on individual value systems.
Different perspectives (patient, healthcare agency, legal system, nurse) may lead to variations in the perceived best course of action.
According to the nursing code of ethics, the primary loyalty is to the client. However, determining the action that best serves the client's needs can be challenging.

Sources of Ethical Dilemmas

Social and technological changes, such as the right to healthcare, increasing healthcare costs, and conflicting institutional policies, can contribute to ethical dilemmas.
Conflicts between nurses' loyalties and obligations can also create ethical challenges.

Categories of Ethical Dilemmas:

The text does not provide specific categories of ethical dilemmas.

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Description

This quiz covers the concepts of informed consent and ongoing consent to care in nursing practice. It discusses the responsibilities of nurses in obtaining informed consent and the stages of ongoing consent in long-term care settings. Understand the importance of client participation and clarity in communication during medical procedures.