Chapter 06: Informed Consent: Rights and Obligations
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
MULTIPLE CHOICE
1. 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 treatment or procedure.
c.
The patient must be legally capable.
d.
All are correct.
ANS: D
Feedback
A Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
B Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
C Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
D Correct! All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
DIF: Cognitive level: Knowledge
2. Which of the following terms best describes a nurse who touches a client without the client’s
consent?
a.
Abuse
b.
Battery
c.
Misconduct
d.
Negligence
ANS: B
Feedback
A Incorrect—Not enough details are known about this situation to determine if
abuse of patient rights is definitely involved.
B Correct! Legally, to touch another person without permission constitutes battery.
C Incorrect—Not enough details are known about this situation to determine if
misconduct is definitely involved.
D Incorrect—Not enough details are known about this situation to determine if
, negligence is definitely involved.
DIF: Cognitive level: Application
3. Which of the following ethical principles is the hallmark of informed consent?
a.
Autonomy
b.
Accountability
c.
Fidelity
d.
Beneficence
ANS: A
Feedback
A Correct! Autonomy, or the right to determine and act on a self-chosen plan, is
the hallmark ethical principle of informed consent.
B Incorrect—Being accountable is a primary nursing value, not an ethical
principle.
C Incorrect—Fidelity is an ethical principle involved in informed consent, but it is
not the hallmark principle.
D Incorrect—Beneficence is an ethical principle involved in informed consent, but
it is not the hallmark principle.
DIF: Cognitive level: Knowledge
4. A patient in the nurse’s care is having surgery today and has signed only a general consent
form. What other information must be documented?
a.
Physician documentation of the patient’s consent
b.
Physician documentation related torisks, consequences, and benefits of the
procedure
c.
Time and date the consent was received
d.
All are correct
ANS: D
Feedback
A Incorrect—All of the above are required in this situation.
B Incorrect—All of the above are required in this situation.
C Incorrect—All of the above are required in this situation.
D Correct! All of the above are required in this situation.
DIF: Cognitive level: Analysis
5. The nurse tells a patient, through speech and miming, that she will be giving an enema to
the patient. The patient implies consent by nodding her head. The patient suffers rectal
trauma and bleeding during the procedure. Is the nurse liable, and why?
a.
The nurse is not liable because she explained the procedure and received the
patient’s consent.
b.
The nurse is liable because she did not have written, procedure-specific consent
from the patient.
c.
The nurse is liable because she did not note the date and time of the consent.
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
MULTIPLE CHOICE
1. 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 treatment or procedure.
c.
The patient must be legally capable.
d.
All are correct.
ANS: D
Feedback
A Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
B Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
C Incorrect—All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
D Correct! All are correct. In addition, the patient must be told of the risks,
benefits, and drawbacks of the proposed procedure; the risks of forgoing the
treatment; the treatment options and benefits; and who will perform the
procedure.
DIF: Cognitive level: Knowledge
2. Which of the following terms best describes a nurse who touches a client without the client’s
consent?
a.
Abuse
b.
Battery
c.
Misconduct
d.
Negligence
ANS: B
Feedback
A Incorrect—Not enough details are known about this situation to determine if
abuse of patient rights is definitely involved.
B Correct! Legally, to touch another person without permission constitutes battery.
C Incorrect—Not enough details are known about this situation to determine if
misconduct is definitely involved.
D Incorrect—Not enough details are known about this situation to determine if
, negligence is definitely involved.
DIF: Cognitive level: Application
3. Which of the following ethical principles is the hallmark of informed consent?
a.
Autonomy
b.
Accountability
c.
Fidelity
d.
Beneficence
ANS: A
Feedback
A Correct! Autonomy, or the right to determine and act on a self-chosen plan, is
the hallmark ethical principle of informed consent.
B Incorrect—Being accountable is a primary nursing value, not an ethical
principle.
C Incorrect—Fidelity is an ethical principle involved in informed consent, but it is
not the hallmark principle.
D Incorrect—Beneficence is an ethical principle involved in informed consent, but
it is not the hallmark principle.
DIF: Cognitive level: Knowledge
4. A patient in the nurse’s care is having surgery today and has signed only a general consent
form. What other information must be documented?
a.
Physician documentation of the patient’s consent
b.
Physician documentation related torisks, consequences, and benefits of the
procedure
c.
Time and date the consent was received
d.
All are correct
ANS: D
Feedback
A Incorrect—All of the above are required in this situation.
B Incorrect—All of the above are required in this situation.
C Incorrect—All of the above are required in this situation.
D Correct! All of the above are required in this situation.
DIF: Cognitive level: Analysis
5. The nurse tells a patient, through speech and miming, that she will be giving an enema to
the patient. The patient implies consent by nodding her head. The patient suffers rectal
trauma and bleeding during the procedure. Is the nurse liable, and why?
a.
The nurse is not liable because she explained the procedure and received the
patient’s consent.
b.
The nurse is liable because she did not have written, procedure-specific consent
from the patient.
c.
The nurse is liable because she did not note the date and time of the consent.
