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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;

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