The nurse is preparing a patient for surgery. The patient is to undergo a hysterectomy without oophorectomy and the nurse is witnessing the patient's signature on a consent form
Which comment by the patient would best indicate informed consent?
A) "I know I'll be fine because the physician said he has done this procedure hundreds of times."
B) "I know I'll have pain after the surgery."
C) "The physician is going to remove my uterus and told me about the risk of hemorrhage."
D) "Because the physician isn't taking my ovaries, I'll still be able to have children."
Ans: C
Chapter: 18
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 4
Page and Header: 428, Informed Consent
Feedback: The surgeon must inform the patient of the benefits, alternatives, possible risks, complications, disfigurement, disability, and removal of body parts as well as what to expect in the early and late postoperative periods. The nurse clarifies the information provided, and, if the patient requests additional information, the nurse notifies the physician. In option C, the patient is able to tell the nurse what will occur during the procedure and the associated risks. This indicates the patient has a sufficient understanding of the procedure to provide informed consent. Clarification of information given may be necessary, but no additional information should be given. Options A, B, and D do not indicate patient understanding of the procedure.
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