A client has been chosen to participate in the clinical trial of a medication to treat chemotherapy-induced nausea. When the nurse takes the informed consent form to the bedside the client says, "I am glad there is finally a medication to cure my cancer." How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text:
Select all that apply.
1. "Who told you the medication would cure your cancer?"
2. "What questions do you have about this medication?"
3. "Let me explain how this medication works."
4. "Has anyone explained the research trial to you?"
5. "So am I. This research has been intense."
2,4
Rationale 1: It is not important to discover who specifically gave the client this information.
Rationale 2: The nurse should be certain the client has no questions prior to having the consent signed.
Rationale 3: It is not the nurse's responsibility to explain how the medication works. It is the responsibility of the researcher or health care provider. The nurse should refer questions to those individuals.
Rationale 4: It is the nurse's responsibility to ensure that the client has been provided with facts about the medication and the clinical trial prior to having the consent signed.
Rationale 5: The nurse should identify that this client does not fully understand the purpose of this medication and should collaborate with the researcher or health care provider regarding this misunderstanding.
Global Rationale: The nurse should be certain the client has no questions prior to having the consent signed. It is the nurse's responsibility to ensure that the client has been provided with facts about the medication and the clinical trial prior to having the consent signed. The nurse should identify that this client does not fully understand the purpose of this medication and should collaborate with the researcher or health care provider regarding this misunderstanding. It is not the nurse's responsibility to explain how the medication works. It is the responsibility of the researcher or health care provider. It is not important to discover who specifically gave the client this information.
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