Answer to Question 1
A
Parents are usually the legal guardians of pediatric clients, and therefore they must sign the con-sent.
A person who has been sedated is not in a position to give legally acceptable informed consent. Consent should be obtained before a sedative is administered.
If the 84-year-old client were unable to give consent, then the client's wife would be the person legally authorized to do so on the client's behalf. For a friend to give legal consent, he or she should have power of attorney or legal guardianship of the client.
If a client does not understand the proposed treatment plan, the nurse must notify the physician or nursing supervisor and must ensure that the client is fully informed before signing the consent.
Answer to Question 2
A
The nurse should include implementations that help the patient adapt to his deficit while maintaining independence. Teaching the patient to use assistive devices allows the patient to care for himself. Changing the type of food the patient eats may not work for every culture, where touching food with fingers is unacceptable, or the patient may not enjoy eating foods that do not require utensils. A home health nurse is not necessary as long as the patient is able to care for himself. Instead of placing the patient on antidepressants, assist the patient in attempting to adapt behavior to the sensory deficit.