Week 6 Review Flashcards
Which of the following is a component of informed consent?
a) The consent must be voluntary
b) The consent must be specific to the proposed procedure
c) The patient must be legally capable
d) All are correct
d) All are correct
Is it ethically appropriate for a nurse to withhold explaining all the risks of a procedure to a patient to decrease the patient’s anxiety.
a) True
b) False
b) False
Which of the following terms describes an individual touching another without consent?
a) Assault
b) Battery
c) Intention to cause harm
d) Assumed implied consent
b) Battery
Informed consent is based on which of the following ethical principles?
a) Integrity
b) Beneficence
c) Veracity
d) Autonomy
d) Autonomy
Which of the following is an example of implied consent?
a) The patient withdraws their arm when the nurse is about to give an injection
b) The patient signs the surgical consent form
c) The patient offers their arm to have their blood pressure taken
d) The patient discharges self from the hospital
c) The patient offers their arm to have their blood pressure taken
A conscious 17-year-old patient refuses a blood transfusion. Can the medical team proceed if it is in the patient’s best interests?
a) Only if a court decides that the patient is not competent
b) Yes, because the patient is below the age of majority
c) Yes, because the patient’s parents can provide written consent
d) Only if a court decides that it is in the patient’s best interests
a) Only if a court decides that the patient is not competent
Your patient is undergoing urinary catheterization. The catheter does not pass easily, and the patient asks you to stop. What is this an example of?
a) Reduced competence
b) Informed consent
c) Implied consent
d) Withdrawal of consent
d) Withdrawal of consent
What is proxy consent to treatment?
a) A decision made by the medical team to treat in the best interests of the patient
b) The written consent to treatment signed by the patient
c) Consent given by a third party designated by the patient
d) A decision made by the court to treat the patient
c) Consent given by a third party designated by the patient
How does legislation define individuals as being capable of consent?
a) They have reached the age of majority
b) They have literacy skills that allow them to read consent documents
c) They have prior medical knowledge of the procedure they will undergo
d) They understand the information and the consequences of the procedure
d) They understand the information and the consequences of the procedure
What important factor must be taken into account when someone grants “power of attorney” to another individual?
a) The relationship of the individual to the grantor
b) The capacity of the grantor at the creation of the document
c) The witnessing of the documentation
d) The financial benefit to the attorney taking on this responsibility
b) The capacity of the grantor at the creation of the document
What is expressed consent?
a) The decision to withdrawal from a treatment facility
b) An agreement made with the treating team prior to the commencement of treatment
c) A clear statement of consent
d) The removal of clothing for an examination
c) A clear statement of consent
Under what circumstances can a health care provider proceed with treatment without consent?
a) In an emergency, when no advance directives or proxy (substitute decision maker) is available
b) When the family instructs the team to continue treating
c) When the family cannot reach consensus on a treatment plan
d) When the benefits of treatment outweigh the risks
a) In an emergency, when no advance directives or proxy (substitute decision maker) is available
The nurse administering an enema is concerned because the patient appears to be trying to stop the procedure. The nurse does not stop the procedure because the fluid is only partially administered, and the nurse continues with the task until it is completed. Is the nurse liable for battery?
a) This nurse is not liable for battery because once a procedure is started, it must be completed.
b) This nurse is liable for battery because there was too much fluid and this caused the patient discomfort
c) The nurse is liable for battery because the patient withdrew consent
d) This nurse is not liable for battery because consent was never obtained
c) The nurse is liable for battery because the patient withdrew consent
The nurse tells a patient, through speech and miming, that an enema is to be given. The patient implies consent by nodding in agreement and follows the nurse’s instructions. The patient suffers rectal trauma and bleeding during the procedure. Is the nurse liable and why?
a) The nurse is not liable because the patient implied consent by nodding in agreement and following the instructions
b) The nurse is liable because the consent was not procedure-specific in writing
c) The nurse is liable for not noting the date and time of the consent
d) The nurse is liable for not obtaining informed consent.
d) The nurse is liable for not obtaining informed consent.
Who is considered to be a substitute decision maker is a married patient cannot make decisions?
a) The patient’s spouse
b) The patient’s adult child
c) The physician
d) The patient’s parent
a) The patient’s spouse
