informed consent

Question 1

when is informed consent necessary

Answer 1

• invasive procedure (biopsy, cytoscopy, paracentesis, surgery etc)
• procedures requiring sedation or anesthesia
• nonsurgical procedure that carries more than slight risk
• procedure involving radiation

Question 2

role of nurse with informed consent

Answer 2

• may ask pt to ign consent form and witness signature
• clariifes info provided
• if pt asks more info, refers to physician
• ensures consent given prior to admin of psychoactive med

Question 3

when are you not capable f giving consent

Answer 3

• if not 19 and not under infants act
• if cognitively impaired, mentally ill
• if coerced
• if doesnt understand the language (you then must provide it in appropriate language)

Question 4

how is informed consent helpful to pt

Answer 4

it prepares them psychologically

also for their safety

Question 5

what should be done if pt is non english speaker

Answer 5

give info in language they speak

Question 6

who should explin the procedure, benefits, alternatives, complications

Answer 6

surgeon

Question 7

who can determine the clients capacity to give consent

doesnt apply when it is something another person will do eg surgeon

Answer 7

Nurses determine the client’s capacity to give consent. If necessary, nurses identify the person who is authorized and able to make health care decisions on the client’s behalf.

Question 8

when can a nurse base their decision about the patient’s health care on the best interests of te client without their consent

Answer 8

The client is unable to provide consent.
There is no advance directive.
No substitute decision-maker is reasonably available.
The care or treatment must be provided without delay (e.g., in order to preserve life or to prevent serious physical or mental harm).

Question 9

whih act would you turn to for clients under 19

how does it help a pt wanting to go against their parents wishes?

what is necessary for this to work?

Answer 9

the infants act

• the child can go against their parents wishes and give their own consent
• cant just have the kid sign a piece of paper. They must have had everything explained and the health care has to have been determined to be in their best interests