Lippincott's Review for Medical-Surgical Nursing by Lippincott

By Lippincott

Rev. ed. of: Springhouse assessment for medical-surgical nursing certification. 4th ed. c2007.

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Extra resources for Lippincott's Review for Medical-Surgical Nursing Certification (5th Edition)

Sample text

Which of the following is incorrect about informed consent? ⅜ A. It can be revoked by the state, especially when the benefits outweigh the risks. ⅜ B. A person has to be mentally competent to sign an informed consent. ⅜ C. Physicians can waive informed consents in emergency situations. ⅜ D. The name of the procedure, its risks and benefits, and other alternative procedures make up all the essential elements of informed consent. Correct answer: D An informed consent should also contain the name of the health care professional who will be performing the procedure.

When a patient is no longer mentally capable of making health care decisions, a court order, statute, or law may authorize a surrogate decision maker to accept or refuse medical treatment for the patient based on the patient’s prior documentation or expressed wishes. indd 27 8/2/2011 2:44:52 PM 28 ❍ Legal and ethical aspects of nursing Reducing nursing liability The nurse can take measures to reduce liability in several areas. Liability area Prevention measures Competent practice ● Know your practice area, and stay current in the field.

Correct answer: C The law doesn’t require informed consent in an emergency situation when the patient can’t give consent and no next of kin is available. Option A is incorrect because even though a patient who is declared mentally incompetent can’t give informed consent, mental illness doesn’t by itself indicate that the patient is incompetent to give such consent. Option B is incorrect because a mentally competent patient may refuse or revoke consent at any time. Option D is incorrect because although the nurse may act as a patient advocate, the nurse can never give substituted consent.

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