This document discusses client rights and informed consent in healthcare. It provides several scenarios and evaluates nursing responses regarding explaining treatment to clients, assessing a client's understanding before a medical procedure, and obtaining proper consent including from family if a client is unconscious. The overall focus is on a nurse's responsibility to ensure informed consent and respect a client's rights in different clinical situations.
This document discusses client rights and informed consent in healthcare. It provides several scenarios and evaluates nursing responses regarding explaining treatment to clients, assessing a client's understanding before a medical procedure, and obtaining proper consent including from family if a client is unconscious. The overall focus is on a nurse's responsibility to ensure informed consent and respect a client's rights in different clinical situations.
This document discusses client rights and informed consent in healthcare. It provides several scenarios and evaluates nursing responses regarding explaining treatment to clients, assessing a client's understanding before a medical procedure, and obtaining proper consent including from family if a client is unconscious. The overall focus is on a nurse's responsibility to ensure informed consent and respect a client's rights in different clinical situations.
other children. 4 A child should never be isolated.
Client Need: Management of Care; Cognitive Level: Application; Nursing
Process: Evaluation/Outcomes; Reference: Ch 2, Torts and Crimes Important to Nurses 23. 3 The client’s rights have been violated. All clients have the right to a complete and accurate explanation of treatment based on cognitive ability. 1 All interventions should be explained because they are not routine to the client. 2 When administering treatment, the nurse is responsible for explaining what the treatment is and why it is being given. 4 The Patient Care Partnership (The Patient’s Bill of Rights) states that the client should be informed. Client Need: Management of Care; Cognitive Level: Comprehension; Nursing Process: Evaluation/Outcomes; Reference: Ch 2, Clients’ Rights 24. 4 Informed consent means the client must comprehend the surgery, the alternatives, and the consequences. 1 This description is not within nursing’s domain. 2 Although this is true, it does not determine the client’s ability to give informed consent. 3 Although this is true, the nurse should first assess the client’s knowledge of the surgery. Client Need: Management of Care; Cognitive Level: Application; Integrated Process: Communication/Documentation; Nursing Process: Evaluation/Outcomes; Reference: Ch 2, Clients’ Rights 25. 4 Although a hysterectomy may be performed, conservative management may include cervical conization and laser treatment that do not preclude future pregnancies; clients have a right to be informed by their health care provider of all treatment options. 1 This currently is not the issue for this client. 2, 3 This negates the client’s feelings. Client Need: Management of Care; Cognitive Level: Application; Integrated Process: Communication/Documentation; Nursing Process: Planning/Implementation; Reference: Ch 2, Clients’ Rights 26. 3 This is considered a routine procedure to meet basic physiologic needs and is covered by a consent signed at the time of admission. 1 The need for consent is not negated because the procedure is beneficial. 2, 4 This treatment does not require special consent. Client Need: Management of Care; Cognitive Level: Analysis; Integrated Process: Communication/Documentation; Nursing Process: Evaluation/Outcomes; Reference: Ch 2, Clients’ Rights 27. 4 The client is unconscious. Although the spouse can give consent, there is no legal power to refuse a treatment for the client unless previously authorized to do so by a power of attorney or a health care proxy; the court can make a decision for the client. 1, 3 This alternative is without legal basis, and the nurse may be held liable. 2 Explanations will not be effective at this time and will not meet the client’s needs. Client Need: Management of Care; Cognitive Level: Analysis; Integrated Process: Communication/Documentation; Nursing Process: Planning/Implementation;