A primary care provider's orders indicate that an informed consent needs to be signed for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the client advocate role?

Question

A) "The cardiologist has requested that you sign this informed consent form."
B) "Do you have any questions about the cardiac catheterization procedure that the cardiologist explained to you earlier today?"
C) "What were you told by the cardiologist about the cardiac catheterization procedure?"
D) "Did the student nurse assist you in getting the informed consent signed for the cardiac catheterization procedure?"

Answer 1

C
Feedback:
Informed consent means that tests, treatments, and medications have been explained to the person, as well as outcomes, possible complications, and alternative procedures. Before any person receives routine treatment, a specialized diagnostic procedure, an invasive procedure, special medical or surgical treatment, or experimental therapy, he or she must give informed consent. Usually, the physician explains the situation and obtains consent. The physician and all healthcare workers must be reasonably satisfied that the client understands what will be done and what the expected or adverse results are likely to be. Asking an open-ended question such as "What were you told by the cardiologist about the cardiac catheterization procedure?" is the best way to obtain information from the client. All teaching must be documented. The person who will perform any procedure is ultimately responsible for obtaining consent. A nurse must confirm that the signed consent is in a client's health record before performing any procedure. In cases of serious surgery or life-threatening procedures, physicians usually obtain consent. Students do not obtain consent or witness consent forms.