A chronically depressed patient has been asked to participate in ...

[shofmannx20]

A chronically depressed patient has been asked to participate in a research project focus-ing on effectiveness of alternative therapies.
 
  The nurse determines that the patient has an appropriate understanding of the guidelines that directs a research project when he states (select all that apply):
  a. I hope they find a treatment that doesn't involve drugs.
  b. I plan to use all the money I get to pay off some of my bills.
  c. Helping to find a treatment for depressed people is a good thing.
  d. My doctor told me that I had a responsibility to get involved in this.
  e. I'm confident that this research project has very little risk involved.

Question 2

Which actions show the nurse has an understanding of the role documentation plays in minimizing the risk of malpractice? Select all that apply.
 
  a. Including patient quotes to document subjective symptomology
  b. Supporting documentation with personal opinions of the patient's behaviors
  c. Being mindful to use correct spelling and punctuation in the documentation
  d. Using common abbreviations in order to keep documentation brief and concise
  e. Documenting the nursing evaluation of the patient's understanding of all instruc-tions

[stallen]

Answer to Question 1

ANS: A, C, E
Guidelines for informed consent require that the patient understands the purpose of the re-search, any risks and possible discomforts to the subject, and possible benefits to the indi-vidual or to others. It is most important to note that the research is voluntary and that it clearly reflects autonomy on the participants' part. Research subjects seldom receive payment for their involvement in the project.

Answer to Question 2

ANS: A, C, E
Adequate and legible documentation is the best means of defense against a lawsuit and the best way to validate that the nurse adhered to their scope of practice and to a safe standard of care. It is important to be specific and to document symptoms by writing in quotes how the patient expresses them. The reliability of the documentation is in question if spelling and punctuation is neglected. Documentation of all patient outcomes shows affective nursing care. Documentation should not include personal opinions or abbreviations not approved by the health care facility.

[shofmannx20]

Excellent

[laurnthompson]

TYSM